JESSICA MARIE HARTLE (NPI# 1760015572) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760015572 |
| Entity Type | Individual |
| Full Name | JESSICA MARIE HARTLE |
| Credential | APRN |
| Practice Address |
730 N Macomb St Ste 228 Monroe MI 48162-3087 |
| Mailing Address |
4509 Mckain Dr Toledo OH 43623-3835 |
| Practice Telephone | 7342427060 |
| Practice Fax Number | 7342417580 |
| Enumeration Date | 2020-02-20 |
| Last Update Date | 2020-06-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
APRN.CNP.026080 | OH | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
4704290577 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2940 N Mccord Rd, Toledo, OH 436151753 | 4198423000 | 4192919883 |
| Street Address |
730 N MACOMB ST STE 228 |
| City | MONROE |
| State | MI |
| Zip Code | 48162-3087 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568016012 | Silke A Goudos | Nurse Practitioner | 730 N Macomb Street #200, Monroe, MI 48162 | 2019-08-01 |
| 1134781412 | Joshua Dwaine Lentz | Family Medicine | Promedica Monroe Regional Hospital, 650 Stewart Road, Monroe, MI 48162 | 2019-07-08 |
| 1740769702 | Carissa Pollock | Behavioral Analyst | 2086 S. Custer Rd., Monroe, MI 48162 | 2018-08-10 |
| 1710488440 | Stacy Michael Lucio | Nurse Practitioner | 901 N Macomb St Ste 109, Monroe, MI 48162 | 2018-02-27 |
| 1407239882 | Lisa Gilbert Peleman | Student in an Organized Health Care Education/Training Program | Promedica Monroe Regional Hospital Family Medicine Res, 650 Stewart Rd, Monroe, MI 48162 | 2015-07-03 |
| 1427430552 | Cheryl Fosgate | Counselor | 4350 N Monroe St, Monroe, MI 48162 | 2015-06-25 |
| 1538551460 | Convenient Mr PC | Dentist | 7500 N. Telegraph Rd., Monroe, MI 48162 | 2015-03-02 |
| 1659614022 | Mercy Memorial Hospital Corporation | Family Medicine | 650 Steward Road, Monroe, MI 48162 | 2013-04-03 |
| 1073872743 | Justin L Chamberlain | Surgery | 730 N Macomb St Ste 329, Monroe, MI 48162 | 2012-05-15 |
| 1639462674 | Toledo Clinic Incorporated | Durable Medical Equipment & Medical Supplies | 800 Stewart Road, Suite B, Monroe, MI 48162 | 2011-05-24 |
| Find all providers in zip 48162 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659972347 | Alicia Mitchell | Nurse Practitioner | 1504 Sunset Dr, Monroe, LA 71202-3612 | 2020-11-08 |
| 1114526662 | Angelina Fiszlewicz | Nurse Practitioner | 69 Bayberry Ln, Monroe, OH 45050-2521 | 2020-10-25 |
| 1447857636 | Ashley Norsworthy | Nurse Practitioner | 2600 Tower Dr Ste 216, Monroe, LA 71201-5783 | 2020-10-01 |
| 1417562711 | Tarshia Timothy-jackson | Nurse Practitioner | 2703 Sterlington Rd Apt 76, Monroe, LA 71203-2547 | 2020-09-13 |
| 1891307385 | The Community Np LLC | Nurse Practitioner | 111 Kiowa St, Monroe, LA 71203-8565 | 2020-08-18 |
| 1083223457 | Zydeco Healthcare LLC | Nurse Practitioner | 301 Winkler Way, Monroe, LA 71203-6530 | 2020-07-30 |
| 1194343442 | Courtney Paige Miletello | Nurse Practitioner | 4015 Anna Kate Ln, Monroe, LA 71201-3810 | 2020-07-13 |
| 1942825831 | Kristyn Devun Squyres | Nurse Practitioner | 1401 N 18th St Ste A, Monroe, LA 71201-4972 | 2020-06-16 |
| 1629603337 | Emily Rebecca Buddemeyer | Nurse Practitioner | 814 N Macomb St Ste 1, Monroe, MI 48162-3085 | 2020-03-03 |
| 1609410653 | Ida Centineo | Nurse Practitioner | 2 Tanglewood Pl, Monroe, NJ 08831-3200 | 2019-11-02 |
| Find all providers in MONROE | ||||
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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.