Jessica Brooke Huntzinger, RN
Individual provider Active NPI Registered Nurse · Ontonagon, MI
NPI 1376196667 · NPPES record last updated Jul 17, 2019
Key facts
- NPI
- 1376196667
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- 4704265639 (MI)
- Practice address
- 515 Quartz St
Ontonagon, MI 49953-1115 - Phone
- (906) 884-4804
- Fax
- (906) 884-4856
- NPI assigned
- Jul 17, 2019
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4704265639 | MI | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Copper Country Community Mental Health Services | Past |
Accepting new patients | |
| Copper Country Community Mental Health Services | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 4704265639 | MI | Yes |
Addresses
Primary practice location
515 Quartz St
Ontonagon, MI 49953-1115
Mailing address
105 3Rd St
Ontonagon, MI 49953-1350
Other providers in Ontonagon, MI
- Sara Delene
- Helen Domitrovich
- Danielle Hamlin
- Harbor Town Pharmacy Inc
- Horizon Home Care Inc
- Robert J Johnson
- Ryan Kaiponen
- Colleen Marie Lundgren
- Eric Andrew Maki
- Maple Manor Nursing Center, Inc
All providers in Ontonagon, MI · Registered Nurse 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 17, 2019. 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.