Jenna Saige Lyons, MSN, APRN, CPNP-PC

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

4704364620 Issued in MI

Practice address

419 W Wackerly St
Midland, MI 48640-2739

Phone

(989) 631-9515

NPI assigned

Sep 9, 2021

Last updated

Jun 16, 2022By the provider in NPPES

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

Other names 1

• Miss Jenna Saige Yoder Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science - Nursing

State licenses

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

{
    "created_epoch": "1631145600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655337600000",
    "number": "1699444026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "419 W WACKERLY ST",
            "city": "MIDLAND",
            "state": "MI",
            "postal_code": "486402739",
            "telephone_number": "989-631-9515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "419 W WACKERLY ST",
            "city": "MIDLAND",
            "state": "MI",
            "postal_code": "486402739",
            "telephone_number": "989-631-9515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LYONS",
        "first_name": "JENNA",
        "middle_name": "SAIGE",
        "name_prefix": "Mrs.",
        "credential": "MSN, APRN, CPNP-PC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-09",
        "last_updated": "2022-06-16",
        "certification_date": "2022-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "MI",
            "license": "4704364620",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNA",
            "last_name": "YODER",
            "middle_name": "SAIGE",
            "prefix": "MISS",
            "credential": "MSN, APRN, CPNP-PC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Danielle Lee Luptowski
• Saleena K Lutz
• Luxottica Retail North America Inc (Lenscrafters #05578)
• Teresa Jean Lynch, PHD
• Susan Elizabeth Lyon, MA, LPC
• Meihui Ma, M.D.
• Lauren Macdonald
• Anna Macdougall, PA-C
• Rebecca J Macfalda, M.S.
• Mary Claire Macinnes, WHNP-B.C., M.S.N

• Pediatric Nurse Practitioner in Midland, MI
• Providers in Midland, MI by specialty
• Pediatric Nurse Practitioner in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2022; 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.