KRISTEN ELIZABETH TWEEDY


Address: 1100 E Michigan Ave Ste 307, Jackson, MI 49201-1850
Phone: 5172051594

KRISTEN ELIZABETH TWEEDY (NPI# 1659550036) 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) 1659550036
Entity Type Individual
Full Name KRISTEN ELIZABETH TWEEDY
Other Name KRISTEN ELIZABETH PARK
Credential NP-C
Practice Address 1100 E Michigan Ave Ste 307
Jackson
MI 49201-1850
Mailing Address Po Box 67000
Detroit
MI 48267-2728
Practice Telephone 5172051594
Practice Fax Number 5172055229
Mailing Telephone (517) 205-3867
Mailing Fax Number 5172057419
Enumeration Date 2007-11-01
Last Update Date 2018-03-17
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LA2200X Nurse Practitioner
Specialization: Adult Health
4704187521 MI Physician Assistants & Advanced Practice Nursing Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
5301 E Huron River Dr, Suite C-139, Ypsilanti, MI 481971051 7347121000 7347121012

Other Providers KRISTEN TWEEDY

NPI Name Taxonomy Address Enumeration
1891133559 Kristen Tweedy Nurse Anesthetist, Certified Registered 500 Campus Dr, Hancock, MI 49930-1452 2013-06-04

Office Location

Street Address 1100 E MICHIGAN AVE STE 307
City JACKSON
State MI
Zip Code 49201-1850

Providers in the same location

NPI Name Taxonomy Address Enumeration
1306482476 Megan M. Jarzynka Nurse Practitioner 1100 E Michigan Ave Ste 307, Jackson, MI 49201-1850 2019-11-22
1891154829 Lisa Rojas Nurse Practitioner 1100 E Michigan Ave Ste 307, Jackson, MI 49201-1850 2016-02-18
1568722981 Devin Birsingh Malik Internal Medicine 1100 E Michigan Ave Ste 307, Jackson, MI 49201-1850 2012-05-18

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1174137863 Sally Ann Shaw Behavior Technician 3699 Miles Rd., Jackson, MI 49201 2020-09-01
1780293043 Alyn Kristin Kay Technician Hope Network-hope's Door Cru, 3699 Miles Rd., Jackson, MI 49201 2020-07-23
1841827946 Maverick Jubane Student in an Organized Health Care Education/Training Program Henry Ford Allegiance Health, 205 N East Avenue, Jackson, MI 49201 2020-03-26
1306486584 Cody Williams Technician, Other 1001 Laurence Avenue St E, Jackson, MI 49201 2020-01-15
1720632292 Krystie Lynn Adorjan Speech-Language Pathologist 1175 W Parnall Rd, Jackson, MI 49201 2019-08-01
1407412653 Howard Franklin Tanner II Speech-Language Pathologist 102 East Michigan Avenue, Jackson, MI 49201 2019-05-14
1356863740 Rima Zarar Qayyum Speech-Language Pathologist 4800 Firethorn Dr., Jackson, MI 49201 2017-07-07
1306384383 Briana Nesmith Speech-Language Pathologist 2025 Ann Arbor Road, Jackson, MI 49201 2017-02-09
1255878062 W.a. Foote Memorial Hospital, Inc Otolaryngology 205 N.east Ave, Jackson, MI 49201 2017-01-31
1306212881 Aisha Henderson Social Worker 729 West Michigan Avenue, Jackson, MI 49201 2015-08-19
Find all providers in zip 49201

Taxonomy Information

Taxonomy Code 363LA2200X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Adult Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1215537220 John Franklin Niswonger Nurse Practitioner 861 Canyon Trl, Jackson, MO 63755-4001 2020-10-28
1902421746 Rebecca Mcwhirter Nurse Practitioner 1512 Roswell Dr, Jackson, MS 39211-5928 2020-06-08
1023656642 Nicole Lynn Mckee Nurse Practitioner 170 Bridge St, Jackson, OH 45640-1144 2019-12-13
1104387695 Chatina Spears Martin Nurse Practitioner 308 Melba Hill Dr, Jackson, MS 39209-2833 2019-03-27
1669987723 Harmony House Calls LLC Nurse Practitioner 5140 Galaxie Dr Ste 105, Jackson, MS 39206 2017-12-11
1942649686 Jennifer Annette Paulson Nurse Practitioner 113 W Michigan Ave Ste 201, Jackson, MI 49201-1340 2013-06-16
1770880171 Tracy Little Nurse Practitioner 2782 N Highland Ave Ste C, Jackson, TN 38305-1797 2011-02-21
1750554267 Barbara Darlington Nurse Practitioner 14 Abes Way, Jackson, NJ 08527-4440 2008-04-04
1902075401 Dana Leanne Wilhite Nurse Practitioner 38 Abbey Pl, Jackson, TN 38305-1794 2008-02-28
1104959345 Lynne W Forrette Nurse Practitioner 255 New York Ranch Rd, Suite C, Jackson, CA 95642-2174 2007-03-14
Find all providers in JACKSON

Competitor

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City JACKSON
Zip Code 49201

Improve Information

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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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