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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
AG09180029 | MI | Physician Assistants & Advanced Practice Nursing Providers |
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 |
Street Address |
4100 LAKE DR SE STE D |
City | GRAND RAPIDS |
State | MI |
Zip Code | 49546-8292 |
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 |
Find all providers in zip 49546 |
Taxonomy Code | 363LG0600X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Gerontology |
Definition to come... |
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 |
Find all providers in GRAND RAPIDS |
City | GRAND RAPIDS |
Zip Code | 49546 |
Please comment or provide details below to improve the information on ASHLEY MARIE JACOBSON.
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.