JILLIAN N PETKUS


Address: 72 S Washington St, Oxford, MI 48371-6421
Phone: 2482368333

JILLIAN N PETKUS (NPI# 1174879951) 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) 1174879951
Entity Type Individual
Full Name JILLIAN N PETKUS
Credential FNP-BC
Practice Address 72 S Washington St
Oxford
MI 48371-6421
Mailing Address 215 E Auburn Rd
Rochester Hills
MI 48307-5260
Practice Telephone 2482368333
Practice Fax Number 2482368666
Mailing Telephone 2488532009
Enumeration Date 2012-07-30
Last Update Date 2014-08-06
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
4704266490 MI Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
MI 1700036936 05

Office Location

Street Address 72 S WASHINGTON ST
City OXFORD
State MI
Zip Code 48371-6421

Providers in the same location

NPI Name Taxonomy Address Enumeration
1386642056 Sheryl A Wissman Internal Medicine 72 S Washington St, Suite 204, Oxford, MI 48371-6421 2005-07-07
1679926513 Summit Physical Therapy, Pllc Physical Therapist 72 S Washington St, Suite 106, Oxford, MI 48371-6421 2016-07-15
1497153159 Laura Holt Nurse Practitioner 72 S Washington St, Suite 202, Oxford, MI 48371-6421 2014-12-11
1013213958 Kenneth Michael Walter Nurse Practitioner 72 S Washington St, Suite 102, Oxford, MI 48371-6421 2011-02-09
1316265531 Oxford Urgent Care, LLC Emergency Medicine 72 S Washington St, Suite 102, Oxford, MI 48371-6421 2010-05-12
1700036936 Oxford Urgent Care P L C Clinic/Center 72 S Washington St, Suite 102, Oxford, MI 48371-6421 2008-09-24
1801063201 Essential Health Chiropractic,p.c. Chiropractor 72 S Washington St, Suite 202, Oxford, MI 48371-4973 2008-05-14
1487828422 Lawrence Michael Oshier Psychologist 72 S Washington St, Suite 206, Oxford, MI 48371-4973 2008-04-22
1285808535 Sarah Elizabeth Giroux Physical Therapist 72 S Washington St, Suite 106, Oxford, MI 48371-6421 2008-04-17
1386769180 Lakeside Medical Group, PC Family Medicine 72 S Washington St, Suite 202, Oxford, MI 48371-4973 2007-03-20
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1164915005 Robyn Marie Ankawi Counselor 930 E Drahner Rd, Oxford, MI 48371 2018-06-13
1225557184 Laurie Bueche Social Worker 1450 S Lapeer Road, Oxford, MI 48371 2017-09-12
1417480708 Adam Renard Burton Student in an Organized Health Care Education/Training Program 801 Vivian Ln, Oxford, MI 48371 2017-04-04
1104378926 Kayla Lynn Thrushman Counselor 2b. S. Washington Ave., Oxford, MI 48371 2016-10-27
1588092191 J&j Medical, Inc. Durable Medical Equipment & Medical Supplies 141 Cheltenham Ln, Oxford, MI 48371 2013-10-16
1801232368 Angela Mary Ramsey Social Worker 1450 N Lapeer Rd, Oxford, MI 48371 2013-05-10
1598040271 Walgreen Co Pharmacy 7110 Dixie Hwy., Clarkston, MI 48371 2011-10-13
1417108945 Best Value Pharmacy LLC Pharmacy 72 S Oxford, Suite 207, Oxford, MI 48371 2008-10-02
1497953533 Rachel Maryann Klamo Family Medicine 72 South Washington St., Suite 204, Oxford, MI 48371 2007-07-10
1528185378 Gregory Michael Garvin Preventive Medicine 760 Woodleigh Way, Oxford, MI 48371 2007-03-26
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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1124632716 Oxford Specialty Clinic Nurse Practitioner 1205 Office Park Dr, Oxford, MS 38655-3545 2020-09-01
1659994044 Christopher Killis Scruggs Nurse Practitioner 132 Yocona Ridge Rd, Oxford, MS 38655-6904 2020-05-20
1164062105 Sarah Marie Fitzpatrick Nurse Practitioner 1070 Brookside Ct, Oxford, MI 48371-6055 2020-01-07
1710522198 Laura Nicole Kelleway Nurse Practitioner 23 County Road 205, Oxford, MS 38655-9794 2019-11-09
1780225441 Lija Turaida Moncrieff-austin Nurse Practitioner 500 E Peninsula Ct, Oxford, MI 48371-3669 2019-10-03
1861044026 Mirian Thiruchendru Nurse Practitioner 72 S Washington St Ste 102, Oxford, MI 48371-6421 2019-07-09
1649752312 Aubrey Michelle Mcintosh Nurse Practitioner 904 Crestmoor Dr, Oxford, MI 48371-4870 2018-08-30
1760969208 Tina Gail Bryan Nurse Practitioner 7 County Road 469, Oxford, MS 38655-8279 2018-07-27
1699277509 Lindsey Wall Hemphill Nurse Practitioner 45 County Road 277, Oxford, MS 38655-8739 2018-03-06
1023527017 Katherine Waters Nurse Practitioner 2301 S Lamar Blvd # 140, Oxford, MS 38655-5373 2017-09-22
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Competitor

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City OXFORD
Zip Code 48371

Improve Information

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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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