ASHLEY MARIE JACOBSON


Address: 4100 Lake Dr Se Ste D, Grand Rapids, MI 49546-8292
Phone: 6163917580

ASHLEY MARIE JACOBSON (NPI# 1306318498) 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) 1306318498
Entity Type Individual
Full Name ASHLEY MARIE JACOBSON
Credential NURSE PRACTITIONER
Practice Address 4100 Lake Dr Se Ste D
Grand Rapids
MI 49546-8292
Practice Telephone 6163917580
Mailing Telephone 6163917580
Enumeration Date 2018-12-30
Last Update Date 2018-12-30
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LG0600X Nurse Practitioner
Specialization: Gerontology
AG09180029 MI Physician Assistants & Advanced Practice Nursing Providers

Other Providers ASHLEY JACOBSON

NPI Name Taxonomy Address Enumeration
1336607738 Ashley Jacobson Technician 3411 Division Dr, West Plains, MO 65775-5789 2019-03-05
1023512563 Ashley Ann Jacobson Emergency Medicine 200 1st St Sw, Rochester, MN 55905 2018-03-20

Office Location

Street Address 4100 LAKE DR SE STE D
City GRAND RAPIDS
State MI
Zip Code 49546-8292

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1437762986 Amanda Mae Ostrom Speech-Language Pathologist 710 Kenmore Ave Se, #110, Grand Rapids, MI 49546 2020-08-25
1063075562 Kelly Lynn Ibarra Counselor 4467 Cascade Road Se, Suite #4479, Grand Rapids, MI 49546 2019-04-19
1891257036 Jessica Matthews LLC Counselor 4127 Embassy Drive Se, Grand Rapids, MI 49546 2019-04-05
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
1679062772 Smile Cascade, P.C. Clinic/Center 4505 Cascade Rd Se # A, Grand Rapids, MI 49546 2018-05-03
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 363LG0600X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Gerontology

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1568931673 Jennifer Lavigne Nurse Practitioner 145 Michigan St Ne Ste 3300, Grand Rapids, MI 49503-2562 2018-11-19
1851886220 Laura Maclam Nurse Practitioner 524 Marywood Dr Ne, Grand Rapids, MI 49505-4149 2018-06-27
1609482330 Amy Manderscheid Nurse Practitioner 100 Michigan St Ne # Mc845, Grand Rapids, MI 49503-2560 2020-09-18
1417563339 Samantha Marie Utter Nurse Practitioner 25 Michigan St Ne Ste 6100, Grand Rapids, MI 49503-2561 2020-09-16
1295343986 Elizabeth Ann Evans Nurse Practitioner 100 Michigan St Ne # Mc845, Grand Rapids, MI 49503-2560 2020-07-19
1669098935 Andrea Lynn Giffel Nurse Practitioner 145 Michigan St Ne Ste 3410, Grand Rapids, MI 49503-2563 2020-06-22
1326672767 Andrea Patrice Sewell Nurse Practitioner 25 Michigan St Ne Ste 6100, Grand Rapids, MI 49503-2561 2020-02-25
1356971261 Sarah Marie Nava Nurse Practitioner 100 Michigan St Ne # Mc019, Grand Rapids, MI 49503-2560 2020-01-20
1790323970 Joshua Dennis Witherspoon Nurse Practitioner 7751 Byron Center Ave Sw, Suite C, Grand Rapids, MI 49351 2019-12-18
1538705660 Mavjuda Saydazamova Nurse Practitioner 80 68th St Se, Grand Rapids, MI 49548-6980 2019-11-25
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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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