Jean A Edmondson in Saint Clair Shores - Nurse Practitioner
Jean A Edmondson - NPI 1992742753
Jean A Edmondson is a Nurse Practitioner in Saint Clair Shores, Michigan. Jean A Edmondson practices all healthcare services and medical treatments related to Nurse Practitioner. The NPI Number for Jean A Edmondson is 1992742753. The last update date is 2021-11-08.
Jean A Edmondson's current location address is 23829 Little Mack Ave, Saint Clair Shores, Michigan. You can contact this provider via phone number 5867731300 and fax number 5867731600. The mailing address for Jean A Edmondson is 23829 Little Mack Ave, Saint Clair Shores, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jean A Edmondson |
|---|---|
| Address | 23829 Little Mack Ave, Saint Clair Shores, Michigan |
| Phone Number | 5867731300 |
| Fax Number | 5867731600 |
| Sole Proprietor | N |
| Credentials | NP |
NPI Number Detail
| NPI Number | 1992742753 |
|---|---|
| Provider Enumeration Date | 2006-06-01 |
| Last Updated Date | 2021-11-08 |
Provider Mailing Address Detail
| Address | 23829 Little Mack Ave |
|---|---|
| City | Saint Clair Shores |
| State | Michigan (MI) |
| Post Code | 480801186 |
| Phone Number | 5867731300 |
| Fax Number | 5867731600 |
Provider's Primary Taxonomy Detail
| Speciality | Nurse Practitioner |
|---|---|
| Taxonomy | 363L00000X |
| Licence No | JE215622 |
|
Definition: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certifi |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 5008605420 | MI | BLUE CROSS BLUE SHIELD | |
| 4761826 | MI | -- |
Post Comment/ Review Below
What is the unique identification code assigned to Jean A Edmondson by the Centers for Medicare & Medicaid Services?
The Jean A Edmondson has been issued the NPI (National Provider Identifier) 1992742753. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Jean A Edmondson is physically located?
The Jean A Edmondson is situated at the following address: 23829 Little Mack Ave, Saint Clair Shores, MI 480801186.
What is Jean A Edmondson's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Jean A Edmondson's specialized field of practice is Nurse Practitioner, and the corresponding taxonomy code that categorizes this area of specialization is 363L00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1992742753 to Jean A Edmondson?
The Jean A Edmondson received its 1992742753 assignment from the Centers for Medicare & Medicaid Services on 2006-06-01.
When was the information regarding Jean A Edmondson, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Jean A Edmondson, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2021-11-08.