MRS. CHENAULL VAN JORDAN (NPI# 1972892305) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972892305 |
| Entity Type | Individual |
| Full Name | MRS. CHENAULL VAN JORDAN |
| Other Name | MRS. CHENAULL VAN HUNTER |
| Credential | N.P. |
| Practice Address |
4967 Crooks Rd Suite 130 Troy MI 48098-5801 |
| Practice Telephone | 2489521601 |
| Practice Fax Number | 2489520192 |
| Mailing Telephone | 2489521601 |
| Mailing Fax Number | 2489520192 |
| Enumeration Date | 2011-04-06 |
| Last Update Date | 2015-09-22 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
4704218917 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
4704218917 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
4967 CROOKS RD SUITE 130 |
| City | TROY |
| State | MI |
| Zip Code | 48098-5801 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831191170 | Osama N. Nunu | Internal Medicine | 4967 Crooks Rd, Ste 130, Troy, MI 48098-5801 | 2005-06-01 |
| 1780006254 | Stacey Allen | Nurse Practitioner | 4967 Crooks Rd, Suite 130, Troy, MI 48098-5801 | 2014-01-17 |
| 1831436393 | Sarah Markiewicz | Physician Assistant | 4967 Crooks Rd, Ste. 130, Troy, MI 48098-5801 | 2013-01-03 |
| 1609112580 | Zeinab Kenaan | Physician Assistant | 4967 Crooks Rd, Suite 130, Troy, MI 48098-5801 | 2012-12-20 |
| 1669717146 | Patrycja Lubas | Nurse Practitioner | 4967 Crooks Rd, Ste. 130, Troy, MI 48098-5801 | 2012-12-10 |
| 1487910030 | Alleda E Mack | Internal Medicine | 4967 Crooks Rd, Troy, MI 48098-5801 | 2012-04-09 |
| 1780966622 | Vanessa A Ruffino | Physician Assistant | 4967 Crooks Rd, Ste. 130, Troy, MI 48098-5801 | 2011-09-16 |
| 1083902761 | Zaid Kasmikha | Internal Medicine | 4967 Crooks Rd, Suite 130, Troy, MI 48098-5801 | 2011-07-15 |
| 1336436716 | Bernard G. Westbury | Physician Assistant | 4967 Crooks Rd, Ste. 130, Troy, MI 48098-5801 | 2011-07-06 |
| 1407149420 | Mini M Tommy | Nurse Practitioner | 4967 Crooks Rd, Suite 130, Troy, MI 48098-5801 | 2011-05-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053949289 | Douglas Ross | Physical Therapy Assistant | 4062 Livernois Rd, Troy, MI 48098 | 2020-04-01 |
| 1104382837 | Minxes Inc | Chiropractor | 1175 W. Long Lake Rd, Suite 100, Troy, MI 48098 | 2019-02-19 |
| 1689160053 | Nyssa J Swanson | Physical Therapist | 5440 Corporate Dr Ste 400, Troy, MI 48098 | 2018-07-09 |
| 1447742580 | Rebecca Jane Stros | Counselor | 900 Tower Dr, Troy, MI 48098 | 2018-06-05 |
| 1356863278 | Brigette Johnson | Occupational Therapist | 4794 Riverchase Dr, Troy, MI 48098 | 2017-07-12 |
| 1912448382 | Devyn Depeter | Technician/Technologist | 5877 Livernois Rd Ste 104, Troy, MI 48098 | 2017-03-17 |
| 1285025015 | Rochester Knee & Sports Medicine PC | Durable Medical Equipment & Medical Supplies | 4600 Investment Dr Ste 120, Troy, MI 48098 | 2015-02-16 |
| 1649690231 | Tammy Beesley-schick | Registered Nurse | 4568 Odette Ct, Troy, MI 48098 | 2014-04-22 |
| 1306269584 | Medi-care | Ambulance | 5741 Faircastle, Troy, MI 48098 | 2014-01-24 |
| 1881953644 | Diane Marie Bald | Social Worker | 1707 White Birch Ct, Troy, MI 48098 | 2012-05-14 |
| Find all providers in zip 48098 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437782067 | Jamie Lynn Kosalsky | Nurse Practitioner | 1385 Cadmus Dr, Troy, MI 48085-1218 | 2020-02-21 |
| 1770981037 | Aimee Dennis | Nurse Practitioner | 880 W Long Lake Rd # 600, Troy, MI 48098-4504 | 2014-12-18 |
| 1033549381 | Jodie Eickhoff | Nurse Practitioner | 6535 Rochester Rd Ste 2, Troy, MI 48085-1362 | 2013-11-24 |
| 1912337551 | Grace Wang | Nurse Practitioner | 2883 Creek Bend Dr, Troy, MI 48098-2381 | 2013-11-18 |
| 1023326881 | Bernadette Sarah Below | Nurse Practitioner | 2095 E Big Beaver Rd Ste 375, Troy, MI 48083-2374 | 2010-09-15 |
| 1841516432 | Lynne Longtin | Nurse Practitioner | 74 Ferry St, Troy, NY 12180 | 2010-04-08 |
| 1942525522 | Joann Barhorst | Nurse Practitioner | 1300 N County Road 25a, Troy, OH 45373-1359 | 2010-04-07 |
| 1982898326 | Cassandra L Lutes | Nurse Practitioner | 215 Highway Aa, Troy, MO 63379 | 2007-08-29 |
| 1467490870 | Jessica Elizabeth Niehoff | Nurse Practitioner | 104 Sarah Ann Blvd, Troy, MO 63379-2038 | 2006-06-04 |
| 1265032445 | Jenni Layne Bolton | Nurse Practitioner | 550 Summit Ave Ste 101, Troy, OH 45373-3047 | 2020-10-28 |
| Find all providers in TROY | ||||
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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.