JENNIFER ANN SOPER (NPI# 1063924926) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063924926 |
| Entity Type | Individual |
| Full Name | JENNIFER ANN SOPER |
| Credential | WHNP |
| Practice Address |
3300 W Centre Ave Portage MI 49024-4666 |
| Practice Telephone | 2693272211 |
| Mailing Telephone | 2693270810 |
| Mailing Fax Number | 2693272063 |
| Enumeration Date | 2017-11-01 |
| Last Update Date | 2020-10-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LX0001X |
Nurse Practitioner Specialization: Obstetrics & Gynecology |
4704191329 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194971408 | Jennifer Soper | Registered Nurse | 321 Wadsworth Cir, Longmont, CO 80501-5756 | 2008-08-18 |
| 1952570160 | Jennifer Ann Soper | Counselor | 7145 Meadow Gate Dr, Apex, NC 27502-8768 | 2008-02-22 |
| 1477889004 | Jennifer Soper | Pharmacist | 1919 E Frankford Rd, Carrollton, TX 75007-5334 | 2009-11-02 |
| Street Address |
3300 W CENTRE AVE |
| City | PORTAGE |
| State | MI |
| Zip Code | 49024-4666 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649250242 | Scott M Peterson | Obstetrics & Gynecology | 3300 W Centre Ave, Bronson Ob Gyn Associates, Portage, MI 49024-4666 | 2006-01-19 |
| 1790314037 | Julie Kay Stroh | Registered Nurse | 3300 W Centre Ave, Portage, MI 49024-4666 | 2020-04-08 |
| 1508324393 | Lisa Pehler Batsell | Social Worker | 3300 W Centre Ave, Portage, MI 49024-4666 | 2019-03-11 |
| 1083094437 | Mary Anne Dykema | Social Worker | 3300 W Centre Ave, Portage, MI 49024-4666 | 2015-06-01 |
| 1083976682 | Sara Lynn Deatsman | Obstetrics & Gynecology | 3300 W Centre Ave, Portage, MI 49024-4666 | 2012-06-11 |
| 1942506902 | Allison Elizabeth Richards | Social Worker | 3300 W Centre Ave, Portage, MI 49024-4666 | 2011-02-08 |
| 1932433935 | Lindsay Kay Remmler | Physician Assistant | 3300 W Centre Ave, Portage, MI 49024-4666 | 2009-09-23 |
| 1154654010 | Amy Elizabeth Klok | Physician Assistant | 3300 W Centre Ave, Portage, MI 49024-4666 | 2009-09-10 |
| 1720298359 | Petra Toutanji | Family Medicine | 3300 W Centre Ave, Portage, MI 49024-4666 | 2007-05-23 |
| 1285856245 | Jessica Lynn Puckett | Obstetrics & Gynecology | 3300 W Centre Ave, Portage, MI 49024-4666 | 2007-05-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134774524 | Antonio Richard Barron | Physician Assistant | 5717 Oakland Dr Ste A, Portage, MI 49024 | 2019-08-03 |
| 1699279240 | Julie Lynn Griffin | Specialist/Technologist | Portage Northern High School, 1000 Idaho Ave, Portage, MI 49024 | 2018-03-20 |
| 1194255711 | Brittany Lynn Finkler | Audiologist | 576 Romence Rd Ste 121, Portage, MI 49024 | 2017-06-15 |
| 1164881207 | Family & Children Services, Inc. | Clinic/Center | 1302 W Milham Ave, Portage, MI 49024 | 2016-02-17 |
| 1497127716 | Huber Counseling, LLC | Counselor | 1591 West Centre Ave, Suite 102, Portage, MI 49024 | 2015-10-26 |
| 1659757466 | Marie Porter | Rehabilitation Practitioner | 5724 Alten St, Portage, MI 49024 | 2015-08-04 |
| 1063824860 | George Hughes | General Practice | 6630 Sunburst Dr, Portage, MI 49024 | 2014-05-28 |
| 1922358407 | Kimberly Lynn Ellrich | Speech-Language Pathologist | Storypoint, 3951 W Milham Ave, Portage, MI 49024 | 2012-09-12 |
| 1942593744 | Shamika Hall, Ph.d. & Associates, Pllc | Community/Behavioral Health | 7901 S. 12th St., Suite 201, Portage, MI 49024 | 2011-05-26 |
| 1306142815 | Jody Lynn Wrathall | Dentist | 3020 Old Centre Rd, Portage, MI 49024 | 2011-01-31 |
| Find all providers in zip 49024 | ||||
| Taxonomy Code | 363LX0001X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Obstetrics & Gynecology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790765139 | Kyoung Kelly Lee | Nurse Practitioner | 3300 West Centre Ave, Bronson Ob/gyn Associates, Portage, MI 49024 | 2006-01-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255607032 | Maureen M Westfall | Nurse Practitioner | 4200 Whitehall Dr Ste 330, Ann Arbor, MI 48105-9694 | 2012-03-27 |
| 1306121660 | Julie Sokolow | Nurse Practitioner | 317 S Drake Rd Ste B, Kalamazoo, MI 49009-1171 | 2011-10-19 |
| 1073835302 | Leah Foucart | Nurse Practitioner | 6920 Tamarack Ln, Holly, MI 48442-9157 | 2010-03-01 |
| 1265547749 | Karen J Pociluyko | Nurse Practitioner | 205 N Hintz Rd, Owosso, MI 48867-9019 | 2006-08-21 |
| 1790206019 | Christy Lynn Klieman | Nurse Practitioner | 1701 South Boulevard, East, Suite 200, Rochester Hills, MI 48307 | 2017-06-28 |
| 1942613252 | Lorrie Lorraine Youngs | Nurse Practitioner | 2012 E Preston St, Mt Pleasant, MI 48858-8990 | 2014-06-04 |
| 1861814220 | Jeanna Mastracci | Nurse Practitioner | 44344 Dequindre Rd, Sterling Heights, MI 48314-1038 | 2014-01-19 |
| 1639517758 | Sarah Sharp | Nurse Practitioner | 8333 Felch St Ste 202, Zeeland, MI 49464-2609 | 2013-06-11 |
| 1962840397 | Shelly L Betancourt | Nurse Practitioner | 639 E Main St, Carson City, MI 48811-9795 | 2013-06-07 |
| 1952647083 | Mary Lynne Barringer | Nurse Practitioner | 18101 Oakwood Blvd, Dearborn, MI 48124-4089 | 2012-12-18 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on JENNIFER ANN SOPER.
| 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.