Individual provider Active NPI

Jennifer Urabe, FNP

  • Family Nurse Practitioner
  • Jackson, MI
National Provider Identifier
1639545932
Registry record updated Jul 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4704190286 Issued in MI
Practice address
1310 Greenwood Ave Lowr Level
Jackson, MI 49203-3077
Phone
(517) 962-0123
Fax
(517) 201-8067
NPI assigned
Aug 20, 2015
Last updated
Jul 1, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 4704190286 MI Primary

Addresses

Primary practice location

1310 Greenwood Ave Lowr Level
Jackson, MI 49203-3077

Mailing address

1310 Greenwood Ave Lowr Level
Jackson, MI 49203-3077
Phone (517) 962-0123

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
4704190286MIMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Christian Health Family CurrentSince Jul 9, 2025 Accepting new patients
Lenae E Vanwagnen MD LLC PastSince Apr 6, 2025 Accepting new patients

Locations

1310 Greenwood Ave
Lowr
Jackson, MI 49203
Phone (517) 962-0123

2900 Packard Rd
Ste 1
Ypsilanti, MI 48197
Phone (734) 528-9703

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/15084/brand/2/csg/1/fhir/r4
  • Direct secure messaging: jurabe687306@direct.hfhs.org

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1440028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782864000000",
    "number": "1639545932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1310 GREENWOOD AVE LOWR LEVEL",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492033077",
            "telephone_number": "517-962-0123",
            "fax_number": "517-201-8067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1310 GREENWOOD AVE LOWR LEVEL",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492033077",
            "telephone_number": "517-962-0123",
            "fax_number": "517-201-8067"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "URABE",
        "first_name": "JENNIFER",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-20",
        "last_updated": "2026-07-01",
        "certification_date": "2026-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704190286",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2026; 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.