JEAN THAYER FNP-C NPI 1063803542

NPI Information

  • NPI: 1063803542
  • Provider Name: JEAN THAYER, FNP-C
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 2301 S HURON PKWY STE 2B
    ANN ARBOR, MI
    ZIP 48104
  • Phone: (734) 725-8802

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NPI Details

Jean Thayer, FNP-C is a family nurse practitioner in Ann Arbor, MI with 11 years of experience. Jean Thayer, FNP-C NPI is 1063803542. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2301 S HURON PKWY STE 2B
ANN ARBOR, MI
ZIP 48104-133
Phone: (734) 725-8802
Fax: (734) 480-8686

The NPI 1063803542 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 2/5/2015 and was last updated on 2/15/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LF0000XNurse PractitionerFamily4704225973MICHIGANYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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