JEFFREY MARK FUNCK (NPI# 1508330317) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508330317 |
| Entity Type | Individual |
| Full Name | JEFFREY MARK FUNCK |
| Credential | RN |
| Practice Address |
G-4443 Miller Road Suite 100 Flint MI 48507 |
| Mailing Address |
Po Box 670 Linden MI 48451-0670 |
| Practice Telephone | 8102440038 |
| Mailing Telephone | 8108356743 |
| Mailing Fax Number | 8008522393 |
| Enumeration Date | 2019-01-15 |
| Last Update Date | 2019-01-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WH0200X |
Registered Nurse Specialization: Home Health |
4704235503 | MI | Nursing Service Providers |
| Street Address |
G-4443 MILLER ROAD SUITE 100 |
| City | FLINT |
| State | MI |
| Zip Code | 48507 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245847870 | Alexis Nichole Leach | Physician Assistant | 5494 South Dort Hwy, Flint, MI 48507 | 2020-09-28 |
| 1861981292 | Lavonne L Alexander | Nurse Practitioner | 4500 S Saginaw St Ste 1875, Flint, MI 48507 | 2018-05-01 |
| 1760984348 | Melissa Dawn Hoffman | Psychologist | 5402 Gateway Centre Drive, Suite B, Flint, MI 48507 | 2018-02-28 |
| 1902327323 | Katee Mast | Case Manager/Care Coordinator | 110 Eldon Baker Drive, Flint, MI 48507 | 2017-07-06 |
| 1699228460 | Joshua Sinclair | Social Worker | 2442 E Maple Ave Ste 207, Flint, MI 48507 | 2016-07-28 |
| 1477903730 | Gracie Hunter | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1110 Eldon Baker, Flint, MI 48507 | 2016-06-17 |
| 1528412822 | Drita Gojcaj | Massage Therapist | 3426 Miller Road, Flint, MI 48507 | 2016-04-22 |
| 1629422100 | Ellen Makarewicz-ely | Massage Therapist | 3426 Miller Rd, Flint, MI 48507 | 2016-04-20 |
| 1700262722 | Katelyn Bailey | Nurse Practitioner | 1420 W Twelfth St, Flint, MI 48507 | 2015-07-31 |
| 1205215142 | Reformation Home Health LLC | Home Health | 412 S. Saginaw St, Suite 301, Flint, MI 48507 | 2015-05-26 |
| Find all providers in zip 48507 | ||||
| Taxonomy Code | 163WH0200X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Home Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205337946 | Kerri Wright | Registered Nurse | 2000 Rana Park, Flint, TX 75762-8823 | 2018-02-27 |
| 1922444264 | Ilene M Firmingham | Registered Nurse | 4443 Miller Rd, Flint, MI 48507-1123 | 2013-05-14 |
| 1356588685 | Sheila Rochelle Ballard | Registered Nurse | 3580 Rue Foret, 88, Flint, MI 48532-2842 | 2009-01-08 |
| 1528076312 | Genesis Homehealth Services LLC | Registered Nurse | 1207 N Ballenger Hwy Ste F-3, Flint, MI 48504-7500 | 2006-08-04 |
| 1922639681 | Deloris Odom | Registered Nurse | 4433 Miller Rd, Flint, MI 48507-1123 | 2020-01-31 |
| 1588207815 | William James Allen | Registered Nurse | 4443 Miller Rd, Flint, MI 48507-1123 | 2019-10-18 |
| 1295292902 | Linda Allison Owens | Registered Nurse | 2255 S Linden Rd, Flint, MI 48532-5417 | 2019-02-28 |
| 1861980880 | Melanie Gail Drendall | Registered Nurse | 4443 Miller Rd, Flint, MI 48507-1123 | 2018-04-25 |
| 1700307915 | Marilee Kelley | Registered Nurse | 2255 S Linden Rd Ste A, Flint, MI 48532-5417 | 2017-06-28 |
| 1982014890 | Patricia Erickson I | Registered Nurse | 4433 Miller Rd, Flint, MI 48507-1123 | 2014-04-30 |
| 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.