Jennifer Jacobusse

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

4704239938 Issued in MI

Practice address

3101 Prairie St SW
Grandville, MI 49418-2047

Phone

(616) 531-9973

NPI assigned

Apr 22, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• H.C. Assoicaties Holdings, LLC

  • Home Health Agency
  • Grandville, MI
  • NPI 1972725398
  NPD (past)

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

{
    "created_epoch": "1555891200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1555891200000",
    "number": "1679136949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1121 N VISTA LN",
            "city": "ALLEGAN",
            "state": "MI",
            "postal_code": "490108105",
            "telephone_number": "616-446-1566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3101 PRAIRIE ST SW",
            "city": "GRANDVILLE",
            "state": "MI",
            "postal_code": "494182047",
            "telephone_number": "616-531-9973"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1853 R W Berends Dr SW",
            "address_purpose": "LOCATION",
            "city": "Wyoming",
            "state": "MI",
            "postal_code": "495194955",
            "country_code": "US",
            "telephone_number": "616-534-9300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JACOBUSSE",
        "first_name": "JENNIFER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-22",
        "last_updated": "2019-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MI",
            "license": "4704239938",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marissa Anne Irani
• Elizabeth B Irving, PHARM D
• Said O Ismail, MD
• Ivanrest Family Dentistry
• Jack a Dekkinga MD PC
• Jacquelyn Kellogg, LLC
• James a. Kessel, DDS, PC
• James M Pouillon DPM PLC
• Diane Shahara Jamoua, O.D.
• Jane J Jawahir MD PC

• Registered Nurse in Grandville, MI
• Providers in Grandville, MI by specialty
• Registered Nurse in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2019; 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.