MRS. JOANNE LOIS JEPSEN


Address: 2100 Raybrook Ave Se, Suite 300, Grand Rapids, MI 49546
Phone: 6163409763

MRS. JOANNE LOIS JEPSEN (NPI# 1063742518) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1063742518
Entity Type Individual
Full Name MRS. JOANNE LOIS JEPSEN
Credential ANP-BC
Practice Address 2100 Raybrook Ave Se
Suite 300
Grand Rapids
MI 49546
Practice Telephone 6163409763
Mailing Telephone 6163409763
Enumeration Date 2010-01-06
Last Update Date 2012-05-01
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LA2200X Nurse Practitioner
Specialization: Adult Health
4704177140 MI Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
MI 153161730 05

Office Location

Street Address 2100 RAYBROOK AVE SE
SUITE 300
City GRAND RAPIDS
State MI
Zip Code 49546

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1326518531 Neah Morgan Technician 4220 Burton St Se, Grand Rapids, MI 49546 2018-11-29
1316430267 Michael John Benskey Case Manager/Care Coordinator 4065 Saladin St Se, Grand Rapids, MI 49546 2018-06-14
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1720583289 Jeromy Krogman Counselor 826 Parchment Drive Se, Grand Rapids, MI 49546 2018-03-27
1841792660 Affordable Hearing Clinic Hearing Instrument Specialist 833 Kenmoor Ave Se Ste G, Grand Rapids, MI 49546 2018-03-07
1689176133 Kelly Pines Physical Therapist 625 Kenmoor Ave Suite 306, Grand Rapids, MI 49546 2018-03-01
1467971440 Deanna Elizabeth Saenz Social Worker 2100 Raybrook St Se Ste 300, Grand Rapids, MI 49546 2017-09-12
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Taxonomy Information

Taxonomy Code 363LA2200X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Adult Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1669021358 Cheryl Fowler Nurse Practitioner 523 Fontenelle St Se, Grand Rapids, MI 49548-7316 2019-09-05
1477049518 Mark Contreras Nurse Practitioner 72 Sheldon Blvd Se # 130, Grand Rapids, MI 49504 2018-07-02
1811437817 Embree Embracing Quality Care 'at Your Front Door' Nurse Practitioner 1735 Woodward Ave Se, Grand Rapids, MI 49506-4531 2017-02-24
1295083152 Joanne P Sherwood Nurse Practitioner 703 Ball Ave, Grand Rapids, MI 49506 2012-08-27
1831416478 Cheryl A Sisco Nurse Practitioner 200 Jefferson Ave., Grand Rapids, MI 49503 2010-04-21
1356571749 Cathleen Suzanne Bouwsma Nurse Practitioner 250 Fuller Ave Se, Grand Rapids, MI 49506-1675 2009-07-20
1497828214 Jacob William Turmell Nurse Practitioner 2774 Birchcrest Dr Se, Grand Rapids, MI 49506 2006-11-17
1285666701 Sarah Anne Akers Nurse Practitioner 25 Michigan St Ne Ste 2100, Grand Rapids, MI 49503-2526 2006-07-07
1083212245 Jennifer Renee Jacobs Nurse Practitioner 4118 Kalamazoo Ave Se, Grand Rapids, MI 49508-3605 2020-10-11
1992215768 Heather Metz Nurse Practitioner 710 Kenmoor Ave Se Ste 200, Grand Rapids, MI 49546-2379 2017-10-06
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Competitor

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City GRAND RAPIDS
Zip Code 49546

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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