JENNA SHOEMAKER


Address: 139 Manzana Ct Nw Apt 3b, Grand Rapids, MI 49534-7124
Phone: 8102991411

JENNA SHOEMAKER (NPI# 1366085474) 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) 1366085474
Entity Type Individual
Full Name JENNA SHOEMAKER
Credential NP
Practice Address 139 Manzana Ct Nw Apt 3b
Grand Rapids
MI 49534-7124
Practice Telephone 8102991411
Mailing Telephone 8102991411
Enumeration Date 2019-10-21
Last Update Date 2019-10-21
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
4704327260 MI Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 139 MANZANA CT NW APT 3B
City GRAND RAPIDS
State MI
Zip Code 49534-7124

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1871743815 Michael Robert Anderson Jr. Chiropractor 0-705 Tallmadge Woods Dr. Nw, Suite A, Grand Rapids, MI 49534 2008-09-26
1750459285 Rick David Saier Internal Medicine 1175 Wilson Ave, Walker, MI 49534 2006-12-01
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1558461756 Sandra Staublin Pediatrics 4288 3 Mile Road, Walker, MI 49534 2006-09-25
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1639196603 David Robert Felton Chiropractor 4110 Lake Michigan Dr Nw, Grand Rapids, MI 49534 2006-07-16
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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
1487253654 Caleb S Parks Nurse Practitioner 1911 Hutchinson Ave Se, Grand Rapids, MI 49506-4614 2020-10-20
1689271272 Karen J Goehring Nurse Practitioner 625 Kenmoor Ave Se Ste 115, Grand Rapids, MI 49546-2395 2020-10-06
1043859846 Erika J Mehney Nurse Practitioner 2136 Chesaning Dr Se, Grand Rapids, MI 49506-5311 2019-12-27
1194368647 Amy Jo Arends Nurse Practitioner 350 Lafayette S.e., Suite 301, Grand Rapids, MI 49503 2019-10-28
1104460633 Margaret Masters Nurse Practitioner 2749 Brooklyn Ave Se, Grand Rapids, MI 49507-3938 2019-10-28
1073163846 Jo-leighanne Marie Pascoe Nurse Practitioner 555 Midtowne St Ne Ste 400, Grand Rapids, MI 49503-5731 2019-09-13
1710531686 Emily Wilson Nurse Practitioner 445 Mulford Dr Se, Grand Rapids, MI 49507-3568 2019-07-30
1245882703 Rebecca Lauren Veneklase Nurse Practitioner 143 Lane Ave Sw, Grand Rapids, MI 49504-6172 2019-07-15
1871151613 Nicole Spratling Nurse Practitioner 1000 East Paris Ave Se Ste 230, Grand Rapids, MI 49546-3680 2019-06-05
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Competitor

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City GRAND RAPIDS
Zip Code 49534

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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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