IVORY JACOBS (NPI# 1801246830) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801246830 |
| Entity Type | Individual |
| Full Name | IVORY JACOBS |
| Practice Address |
304 W Tobias St Flint MI 48503-3975 |
| Practice Telephone | 8102334093 |
| Mailing Telephone | 8102334093 |
| Enumeration Date | 2016-06-21 |
| Last Update Date | 2016-07-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
304 W TOBIAS ST |
| City | FLINT |
| State | MI |
| Zip Code | 48503-3975 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164718441 | Alternative Community Living, Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 304 W Tobias St, Flint, MI 48503-3975 | 2011-06-24 |
| 1346851045 | Nancy Ann Blackhurst | Registered Nurse | 304 W Tobias St, Flint, MI 48503-3975 | 2020-08-14 |
| 1639675481 | Josh Hendrick | Registered Nurse | 304 W Tobias St, Flint, MI 48503-3975 | 2018-04-02 |
| 1083120547 | Heather Marie Wilson | Registered Nurse | 304 W Tobias St, Flint, MI 48503-3975 | 2017-12-20 |
| 1710417225 | Hussam S Rishmawi | Registered Nurse | 304 W Tobias St, Flint, MI 48503-3975 | 2017-06-16 |
| 1639622897 | Jessica Griffin | Community Based Residential Treatment Facility, Mental Illness | 304 W Tobias St, Flint, MI 48503-3975 | 2016-07-25 |
| 1063864007 | Anureet Chahal | Health Educator | 304 W Tobias St, Flint, MI 48503-3975 | 2016-07-01 |
| 1053760330 | Rheta Letts | Registered Nurse | 304 W Tobias St, Flint, MI 48503-3975 | 2016-06-08 |
| 1184070211 | Tomeca Shamly | Psychologist | 304 W Tobias St, Flint, MI 48503-3975 | 2016-05-07 |
| 1063871143 | Diana Benson | Registered Nurse | 304 W Tobias St, Flint, MI 48503-3975 | 2016-02-17 |
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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 |
| Find all providers in zip 48503 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487262978 | Sajidmiahejiah Issachar Ramsey | Student in an Organized Health Care Education/Training Program | 812 Root St Fl 2, Flint, MI 48503-1516 | 2020-07-21 |
| 1265051858 | Yandy Rodriguez Orozco | Student in an Organized Health Care Education/Training Program | 2900 N Saginaw Rd, Flint, MI 48505-4452 | 2020-04-13 |
| 1194351130 | Alexander Raouf Mikhail | Student in an Organized Health Care Education/Training Program | 1299 Hickory Hollow Dr, Flint, MI 48532-2036 | 2020-03-22 |
| 1336794429 | Mousa Gomaa Eissa | Student in an Organized Health Care Education/Training Program | 2 Hurley Plz Ste 101, Flint, MI 48503-5904 | 2019-08-06 |
| 1871146423 | Tasheikya Hunter | Student in an Organized Health Care Education/Training Program | 6004 Lancaster Dr, Flint, MI 48532-3213 | 2019-07-23 |
| 1134781198 | Abdelrahman Assem Hammat Yousif | Student in an Organized Health Care Education/Training Program | 1 Hurley Plz Ste 101, Flint, MI 48503-5902 | 2019-06-30 |
| 1598324329 | Santosh Kumar Dhungana | Student in an Organized Health Care Education/Training Program | 2 Hurley Plz Ste 2, Flint, MI 48503-5903 | 2019-06-05 |
| 1134610504 | Swathi Gorle | Student in an Organized Health Care Education/Training Program | Hurley Medical Center, 1 Hurley Plaza, Flint, MI 48503 | 2018-05-22 |
| 1174027270 | Jennifer Tripp | Student in an Organized Health Care Education/Training Program | 111 E Court St Ste 1b-1, Flint, MI 48502-1600 | 2018-03-22 |
| 1801304498 | Faith Ellen Gardner | Student in an Organized Health Care Education/Training Program | 529 Mlk, Flint, MI 48502 | 2018-01-17 |
| 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.