MRS. JACLYN ANNE KORN (NPI# 1326699844) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326699844 |
| Entity Type | Individual |
| Full Name | MRS. JACLYN ANNE KORN |
| Credential | APRN |
| Practice Address |
774 Sandalwood Dr Troy MI 48085-1644 |
| Practice Telephone | 2485351176 |
| Mailing Telephone | 2485351176 |
| Enumeration Date | 2019-09-25 |
| Last Update Date | 2019-09-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
4704278759 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
774 SANDALWOOD DR |
| City | TROY |
| State | MI |
| Zip Code | 48085-1644 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790327252 | Long Lake Rx | Pharmacy | 2888 East Long Lake Rd #120, Suite 120, Troy, MI 48085 | 2019-10-16 |
| 1538712948 | Long Lake Rx | Pharmacy | 2888 East Long Lake Rd, Suite 120, Troy, MI 48085 | 2019-07-24 |
| 1669035093 | William Beaumont Hospital | Pharmacy | Beaumont Hospital Troy, 44201 Dequindre, Room 11a0310, Troy, MI 48085 | 2019-04-22 |
| 1487126926 | Long Lake Rx | Pharmacy | 2888 E Long Lake Rd Suite 120, Troy, MI 48085 | 2018-12-21 |
| 1295226579 | Jeffrey Paul Biehl | Nurse Anesthetist, Certified Registered | 44249 Dequindre Rd., Troy, MI 48085 | 2018-05-23 |
| 1619478666 | Trisha Misiewicz | Physical Therapist | 42201 Dequindre Rd, Troy, MI 48085 | 2018-02-26 |
| 1760900393 | Sensory Rehabilitation LLC | Physical Therapist | 4413, Reilly Ct, Troy, MI 48085 | 2017-09-04 |
| 1841710837 | James L Chang | Dentist | 1883 E Wattles, Troy, MI 48085 | 2017-06-21 |
| 1033567953 | Brittany N David | Physician Assistant | 2041 E Square Lake Rd Suite 300, Troy, MI 48085 | 2016-06-01 |
| 1053784199 | Brianna Lynn Manica | Nurse Practitioner | 44201 Dequindre Rd., Ste. 400 Troy Beaumont Hospital, Troy, MI 48085 | 2015-11-12 |
| Find all providers in zip 48085 | ||||
| Taxonomy Code | 363LP2300X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124646476 | Chand Sheoran | Nurse Practitioner | 3040 Albany Ct, Troy, MI 48083-2595 | 2020-07-13 |
| 1619508991 | Olivia Christine Kramer | Nurse Practitioner | 2649 Crooks Rd, Troy, MI 48084-4714 | 2020-01-27 |
| 1811536378 | Misty Manuel | Nurse Practitioner | 998 S Dorset Rd Ste 301, Troy, OH 45373-4748 | 2020-01-02 |
| 1962043117 | Tara Adkins | Nurse Practitioner | 3130 N County Road 25a Ste 207, Troy, OH 45373-1337 | 2019-09-30 |
| 1457842361 | Amanda Mckay | Nurse Practitioner | 1380 Coolidge Hwy, Troy, MI 48084 | 2018-05-25 |
| 1700388527 | Leah Rochelle Gale | Nurse Practitioner | 998 S Dorset Rd, Troy, OH 45373 | 2018-03-07 |
| 1548796964 | Amudha Palaiyan | Nurse Practitioner | 44201 Dequindre Rd, Troy, MI 48085-1117 | 2017-05-04 |
| 1073058475 | Jordan Timothy Herbert | Nurse Practitioner | 3310 W Big Beaver Rd, Suite 137, Troy, MI 48084 | 2016-12-21 |
| 1003369307 | Melissa Baker | Nurse Practitioner | 5440 Corporate Dr, Troy, MI 48098-2646 | 2016-08-03 |
| 1962850131 | Lisa Lynn Mccloy | Nurse Practitioner | 4600 Investment Dr, Suite 200, Troy, MI 48098-6365 | 2016-05-29 |
| Find all providers in TROY | ||||
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| 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.