JJDM Management of Marquette

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

JJDM MANAGEMENT OF MARQUETTE

Doing business as

Primo Health & Wellness
Primo Online Wellness

Practice address

712 Chippewa SQ Ste 100
Marquette, MI 49855-4825

Phone

(906) 205-4425

NPI assigned

Jan 18, 2023

Last updated

Apr 26, 2023By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Michele Lee Premeau, NPNPI 1760760839

Title

Managing Member

Phone

(906) 250-5051

Specialties & licenses 1

Addresses

Other names 2

• Primo Health & Wellness Doing business as
• Primo Online Wellness Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Michele Lee Premeau, NP-C

  • Primary Care Nurse Practitioner
  • Marquette, MI
  • NPI 1760760839
  Authorized official Same address or phone

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1674000000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1682467200000",
    "number": "1225743909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "771 BLEMHUBER AVE",
            "city": "MARQUETTE",
            "state": "MI",
            "postal_code": "498554828",
            "telephone_number": "906-250-5051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "712 CHIPPEWA SQ STE 100",
            "city": "MARQUETTE",
            "state": "MI",
            "postal_code": "498554825",
            "telephone_number": "906-205-4425"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "771 Blemhuber Ave",
            "address_purpose": "LOCATION",
            "city": "Marquette",
            "state": "MI",
            "postal_code": "498554828",
            "country_code": "US",
            "telephone_number": "906-205-4425",
            "fax_number": "888-375-4405",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "JJDM MANAGEMENT OF MARQUETTE",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-18",
        "last_updated": "2023-04-26",
        "certification_date": "2023-04-26",
        "status": "A",
        "authorized_official_last_name": "PREMEAU",
        "authorized_official_first_name": "MICHELE",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "906-250-5051",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Primo Health & Wellness",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Primo Online Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jennifer P. Baldwin, M.D., P.L.C.
• Maureen McDevitt Jensen
• Eric Alf Jentoft, M.D.
• Hannah Rose York Jesme
• Brad Jezewski
• JLK Therapy, LLC
• Jodi Coolman, LLC
• Joel a Johnson, M.D., P.C. (Upper Great Lakes Vascular, P.C)
• John G Kublin MD PC
• John Niemela

• Family Nurse Practitioner in Marquette, MI
• Providers in Marquette, MI by specialty
• Family Nurse Practitioner in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.