Jose Jesus Escamilla Jr., RN, BSN

Individual provider Active NPI Registered Nurse · Chesaning, MI

NPI 1942767587 · NPPES record last updated Mar 1, 2019

Key facts

NPI
1942767587
Entity type
Individual (NPI type 1)
Primary specialty
Registered Nurse 163W00000X
License
4704312765 (MI)
Practice address
924 Bentley St
Chesaning, MI 48616-1406
Phone
(989) 323-9465
NPI assigned
Mar 1, 2019
Sex
Male
Sole proprietor
No

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Bachelor on Science - Nursing, Registered Nurse

State licenses

LicenseStateTypeSpecialty
4704312765MIMDRegistered Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 4704312765 MI Yes

Addresses

Primary practice location

924 Bentley St
Chesaning, MI 48616-1406

Mailing address

924 Bentley St
Chesaning, MI 48616-1406

Other providers in Chesaning, MI

All providers in Chesaning, MI · Registered Nurse in Michigan

Sources for this page

Verify at the official NPI Registry.