JENNIFER SONG NPI 1225716186

NPI Information

NPI: 1225716186
Provider Name: JENNIFER SONG
Classification: Nurse Practitioner - 363LA2100X
Entity Type: Individual

Specialization: Acute Care

PECOS Registration: Yes

Address:
309 PAGE AVE
JACKSON, MI
ZIP 49201
Phone: (517) 205-1234
Get Directions

Jennifer Song is an acute care nurse practitioner in Jackson, MI with 2 years of experience. Jennifer Song NPI is 1225716186. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: UNIVERSITY OF MICHIGAN MEDICAL SCHOOL
Graduation Year:2022

The provider's business location address is:

309 PAGE AVE
JACKSON, MI
ZIP 49201-419
Phone: (517) 205-1234

The NPI 1225716186 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 7/10/2023 and was last updated on 11/14/2023.

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
1	363LG0600X	Nurse Practitioner	Gerontology	4704354239	MICHIGAN	No
2	363LA2100X	Nurse Practitioner	Acute Care	4704354239	MICHIGAN	Yes

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: 5/5/2024

NPI Synchronization or Removal

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