Jennifer Isbell

Individual provider Active NPI Licensed Practical Nurse · Carleton, MI

NPI 1497130447 · NPPES record last updated Jul 20, 2015

Key facts

NPI
1497130447
Entity type
Individual (NPI type 1)
Primary specialty
Licensed Practical Nurse 164W00000X
License
4703114883 (MI)
Practice address
2055 Maplecrest Dr
Carleton, MI 48117-9507
Phone
(419) 343-4583
NPI assigned
Jul 20, 2015
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
4703114883MIMDLicensed Practical Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X 4703114883 MI Yes

Addresses

Primary practice location

2055 Maplecrest Dr
Carleton, MI 48117-9507

Mailing address

2055 Maplecrest Dr
Carleton, MI 48117-9507
Phone (419) 343-4583

Other providers in Carleton, MI

All providers in Carleton, MI · Licensed Practical Nurse in Michigan

Sources for this page

Verify at the official NPI Registry.