Justin Damrious Irvin
Individual provider Active NPI Community Health Worker · Mount Morris, MI
NPI 1134041577 · NPPES record last updated Jul 28, 2026
Key facts
- NPI
- 1134041577
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Community Health Worker 172V00000X
- Practice address
- 2304 W Frances Rd
Mount Morris, MI 48458-8229 - Phone
- (810) 547-7056
- NPI assigned
- Jul 28, 2026
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Worker | 172V00000X | MI | Yes |
Addresses
Primary practice location
2304 W Frances Rd
Mount Morris, MI 48458-8229
Mailing address
2304 W Frances Rd
Mount Morris, MI 48458-8229
Phone (810) 547-7056
Other providers in Mount Morris, MI
- Kristen Renee Hendrickson
- Henry Ford Medical Group Genesys
- Michelle Kathleen Hensley
- Isaiah James Hill
- Toquilla Hudson
- Mitchell Irwin
- Brian Thomas Jacobs
- Sanjay Sureshchandra Jain
- James R Williams DDS PC
- Khelsey Jefferson
All providers in Mount Morris, MI · Community Health Worker in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 28, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.