Jill Nicole Mussulman, REGISTERED NURSE

Primary specialty

Gerontology Registered NurseTaxonomy code 163WG0600X

License

4704230385 Issued in MI

Practice address

5500 Armstrong Rd
Battle Creek, MI 49037-7314

Phone

(692) 966-5600

Fax

(269) 223-6501

NPI assigned

Mar 30, 2013

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Jill Nicole Neal Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1364601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715644800000",
    "number": "1417290271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5109 BROOKMEADOW CIR APT D",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490488292",
            "telephone_number": "269-569-1238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5500 ARMSTRONG RD",
            "city": "BATTLE CREEK",
            "state": "MI",
            "postal_code": "490377314",
            "telephone_number": "692-966-5600",
            "fax_number": "269-223-6501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUSSULMAN",
        "first_name": "JILL",
        "middle_name": "NICOLE",
        "credential": "REGISTERED NURSE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-03-30",
        "last_updated": "2024-05-14",
        "certification_date": "2024-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WG0600X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Gerontology",
            "state": "MI",
            "license": "4704230385",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JILL",
            "last_name": "NEAL",
            "middle_name": "NICOLE",
            "credential": "REGISTERED NURSE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kerri Murray, M.D., FACS
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• Wilbert Muse
• David Alan Muzljakovich, MD
• Alice Opiyo Mwanda, NP-C
• Jeromy John Myers, DC
• Kelsey Myers
• Leanne Myers

• Gerontology Registered Nurse in Battle Creek, MI
• Providers in Battle Creek, MI by specialty
• Gerontology Registered Nurse in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2024; 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.