MS. JESSICA LUSK (NPI# 1588969091) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588969091 |
| Entity Type | Individual |
| Full Name | MS. JESSICA LUSK |
| Practice Address |
110 N 4th Ave Ste 102 Ann Arbor MI 48104-5503 |
| Mailing Address |
555 Towner St P.o. Box 915 Ypsilanti MI 48198-5752 |
| Practice Telephone | 7343235803 |
| Enumeration Date | 2011-01-13 |
| Last Update Date | 2011-01-13 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WC1500X |
Registered Nurse Specialization: Community Health |
4704278764 | MI | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225579550 | Jessica Lusk | Case Manager/Care Coordinator | 3960 Walnut Dr, Eureka, CA 95503-8938 | 2017-03-20 |
| 1194996868 | Jessica Lusk | Social Worker | 1151 Hospital Way, Pocatello, ID 83201-5091 | 2008-03-20 |
| Street Address |
110 N 4TH AVE STE 102 |
| City | ANN ARBOR |
| State | MI |
| Zip Code | 48104-5503 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609219708 | Toni Malone | Social Worker | 110 N 4th Ave Ste 102, Ann Arbor, MI 48104-5503 | 2013-04-09 |
| 1104180413 | Virginia Amalie Sabourin | Registered Nurse | 110 N 4th Ave Ste 102, Ann Arbor, MI 48104-5503 | 2012-07-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336603927 | Julie Corey | Counselor | 2604 Brockman Blvd, Ann Arbor, MI 48104 | 2019-01-28 |
| 1003301045 | Ann Arbor Pharmacy LLC | Pharmacy | 2418 E Stadium Blvd, Ann Arbor, MI 48104 | 2018-06-22 |
| 1811499304 | Melissa L Wright | Physical Therapist | 2850 S Industrial Hwy Suite 200, Ann Arbor, MI 48104 | 2018-03-01 |
| 1689180226 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 3500 Washtenaw Ave Ste E3, Ann Arbor, MI 48104 | 2017-12-19 |
| 1861911547 | Jonathen Ross | Social Worker | 500 E. Washington St., Ste 100a, Ann Arbor, MI 48104 | 2017-09-14 |
| 1275058521 | Emily Lauren Hanna | Social Worker | 214 S. Main Street, Suite # 206, Ann Arbor, MI 48104 | 2017-08-08 |
| 1073035457 | Raynaldo Juaquin Valdez | Specialist/Technologist | 500 E. Hoover Ave, Ann Arbor, MI 48104 | 2017-07-07 |
| 1912436908 | Alison Nicole Tseng | Dentist | 2301 Platt Rd Ste 200, Ann Arbor, MI 48104 | 2017-06-05 |
| 1528593183 | Hillary Baldwin Steller, Lmsw,llc | Social Worker | 715-717 E. Huron St, Suite 2e, Ann Arbor, MI 48104 | 2017-04-20 |
| 1013360973 | Teresa Myers | Massage Therapist | 2230 Washtenaw Ave, Suite 101, Ann Arbor, MI 48104 | 2016-07-15 |
| Find all providers in zip 48104 | ||||
| Taxonomy Code | 163WC1500X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Community Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316252224 | Andreea Toader | Registered Nurse | 2140 E. Ellsworth Rd., Ann Arbor, MI 48108 | 2010-08-16 |
| 1467767004 | Destiny Lewis | Registered Nurse | 2140 Ellsworth, Ann Arbor, MI 48108 | 2010-08-06 |
| 1497060032 | Cynthia Sue Ulrich | Registered Nurse | 2140 Ellsworth Rd, Ann Arbor, MI 48108 | 2010-08-06 |
| 1396765988 | Natalie Harris Mobley | Registered Nurse | 312 W. Huron Street, Ann Arbor, MI 48107 | 2006-07-19 |
| 1609342278 | Jeannie Cyrus Armstrong | Registered Nurse | 110 N 4th Ave, Ann Arbor, MI 48104-5503 | 2018-10-22 |
| 1457869158 | Rhonda Lee | Registered Nurse | 2850 S Industrial Hwy Ste 75, Ann Arbor, MI 48104-6796 | 2018-01-16 |
| 1164930814 | Tracey Lynn Koski | Registered Nurse | 2850 S Industrial Hwy # 75, Ann Arbor, MI 48104-6796 | 2018-01-16 |
| 1992193981 | Lanita C. Battle | Registered Nurse | 2140 E Ellsworth Rd, Ann Arbor, MI 48108-2552 | 2014-12-30 |
| 1073939708 | Teresa Marcano | Registered Nurse | 2215 Fuller Rd, Ann Arbor, MI 48105-2303 | 2014-03-05 |
| 1104180413 | Virginia Amalie Sabourin | Registered Nurse | 110 N 4th Ave Ste 102, Ann Arbor, MI 48104-5503 | 2012-07-02 |
| Find all providers in ANN ARBOR | ||||
Please comment or provide details below to improve the information on MS. JESSICA LUSK.
| 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.