JESSICA JOY JEFFERIES (NPI# 1467890491) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467890491 |
| Entity Type | Individual |
| Full Name | JESSICA JOY JEFFERIES |
| Other Name | JESSICA JOY OSMAK |
| Credential | PA-C |
| Practice Address |
1 Hurley Plz Flint MI 48503-5902 |
| Mailing Address |
130 Town Center Dr Ste 203 Troy MI 48084-1744 |
| Practice Telephone | 8102629429 |
| Practice Fax Number | 8102629104 |
| Enumeration Date | 2013-06-12 |
| Last Update Date | 2017-10-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
5601006681 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1 HURLEY PLZ |
| City | FLINT |
| State | MI |
| Zip Code | 48503-5902 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578567053 | Robert Welch | Obstetrics & Gynecology | 1 Hurley Plz, Flint, MI 48503-5902 | 2005-06-13 |
| 1114526076 | Vin Zephyr Swift | Physician Assistant | 1 Hurley Plz, Flint, MI 48503-5902 | 2020-10-21 |
| 1245843275 | Bashir Imam | Student in an Organized Health Care Education/Training Program | 1 Hurley Plz, Flint, MI 48503-5902 | 2020-08-28 |
| 1639789837 | Hadeel Allam | Pediatrics | 1 Hurley Plz, Flint, MI 48503-5902 | 2020-08-03 |
| 1629687637 | Tazeen Qureshi | Student in an Organized Health Care Education/Training Program | 1 Hurley Plz, Flint, MI 48503-5902 | 2020-07-26 |
| 1831707157 | Samira Ali | Student in an Organized Health Care Education/Training Program | 1 Hurley Plz, Flint, MI 48503-5902 | 2020-07-22 |
| 1629695218 | Jillian Arlene Morris | Nurse Practitioner | 1 Hurley Plz, Flint, MI 48503-5902 | 2020-06-29 |
| 1609492164 | Monica Rani Julapelly | Student in an Organized Health Care Education/Training Program | 1 Hurley Plz, Flint, MI 48503-5902 | 2020-06-21 |
| 1992321830 | Brittany Radler | Nurse Practitioner | 1 Hurley Plz, Flint, MI 48503-5902 | 2020-06-16 |
| 1073137071 | Kirsten Nicole Bonifacio | Student in an Organized Health Care Education/Training Program | 1 Hurley Plz, Flint, MI 48503-5902 | 2020-06-04 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457971640 | Flint Odyssey House Inc. | Community/Behavioral Health | 1219 Martin Luther King Avenue, Flint, MI 48503 | 2020-04-17 |
| 1891265476 | Mary Margaret Woodruff | Health Educator | 411 E. Third St Suite 2, Flint, MI 48503 | 2018-11-27 |
| 1669942223 | Donna Jean Phelps | Behavior Technician | 2284 S Ballenger Highway, Flint, MI 48503 | 2018-11-27 |
| 1588150601 | Dayonna Scott | Social Worker | Hope Network, 2830 Corunna Rd, Flint, MI 48503 | 2018-07-02 |
| 1801388020 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 2284 S Ballenger Hwy Ste F, Flint, MI 48503 | 2018-06-04 |
| 1134610504 | Swathi Gorle | Student in an Organized Health Care Education/Training Program | Hurley Medical Center, 1 Hurley Plaza, Flint, MI 48503 | 2018-05-22 |
| 1881128049 | Kara Garr | Registered Nurse | 805 Tuuri Pl, Flint, MI 48503 | 2017-04-14 |
| 1518405638 | Thomasinia Terrell | Peer Specialist | 422 W Fourth Ave, Flint, MI 48503 | 2017-02-09 |
| 1790231041 | Roslyn Boyce | Technician, Other | 2213 E. Court Street, Flint, MI 48503 | 2016-08-28 |
| 1689120818 | Yasmine Elhefnawy | Student in an Organized Health Care Education/Training Program | One Hurley Plaza 3d West, Flint, MI 48503 | 2016-08-28 |
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| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013524859 | Amber Marie Lee | Physician Assistant | 2265 South Lindenroad, Suite A, Flint, MI 48532 | 2020-09-25 |
| 1992107684 | Benjamin James Busuito | Physician Assistant | 225 E 5th St Ste 300, Flint, MI 48502-1641 | 2014-09-24 |
| 1558632224 | Barbara Carol Steer | Physician Assistant | 1289 S Linden Rd Ste B, Flint, MI 48532-3499 | 2012-01-26 |
| 1992251995 | Joseph Galard IIi | Physician Assistant | 2700 Robert T Longway Blvd, Suite B, Flint, MI 48503-2190 | 2016-08-30 |
| 1366997520 | Margaret Hall Noger | Physician Assistant | 5494 S Dort Hwy, Flint, MI 48507-4483 | 2016-08-17 |
| 1427439900 | Natalia Migas | Physician Assistant | 1 Hurley Plz, Flint, MI 48503-5902 | 2015-06-10 |
| 1144620758 | Stephanie Ann Ventvrini | Physician Assistant | 2 Hurley Plaza, Suite 209, Flint, MI 48503 | 2014-09-02 |
| 1316359128 | Nathan Lee Arnold | Physician Assistant | 4466 W Bristol Rd, Flint, MI 48507-3170 | 2014-05-28 |
| 1447512819 | Gary Fannon | Physician Assistant | 1 Hurley Plz, Flint, MI 48503-5902 | 2012-06-12 |
| 1255605283 | Katherine L Vanderlaan | Physician Assistant | 2700 Robert T Longway Blvd Ste B, Flint, MI 48503-2190 | 2012-03-08 |
| Find all providers in FLINT | ||||
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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.