Jessica Selvidge
Individual provider Active NPI Licensed Practical Nurse · Springfield, MI
NPI 1992160873 · NPPES record last updated Dec 21, 2015
Key facts
- NPI
- 1992160873
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Licensed Practical Nurse 164W00000X
- License
- 4703106030 (MI)
- Practice address
- 1822 Harmonia Rd
Springfield, MI 49037-7688 - Phone
- (269) 986-1199
- NPI assigned
- Dec 21, 2015
- Sex
- Female
- 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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4703106030 | MI | MD | Licensed Practical Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | 4703106030 | MI | Yes |
Addresses
Primary practice location
1822 Harmonia Rd
Springfield, MI 49037-7688
Mailing address
1822 Harmonia Rd
Springfield, MI 49037-7688
Phone (269) 986-1199
Other providers in Springfield, MI
- David W Lucas
- Nicholas J Vandemoortel, DDS, PC
- Ashley Reid
- Robert L Houghtaling Jr DDS PLLC
- Michael Aaron Rogers
- Kimberly Ann Sevastopoulos
- Darcie Slaughter
- Ashley Smith
- Larry Smith
- Todd G Stagner
All providers in Springfield, MI · Licensed Practical Nurse in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 21, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.