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JJDM MANAGEMENT OF MARQUETTE NPI 1225743909


NPI Information

NPI: 1225743909
Provider Name: JJDM MANAGEMENT OF MARQUETTE

Doing Business As: PRIMO HEALTH & WELLNESS

Classification: Nurse Practitioner - 363LF0000X
Entity Type: Organization

Specialization: Family

CLIA Number: 23D2283261

Address:
712 CHIPPEWA SQ STE 100
MARQUETTE, MI
ZIP 49855
Phone: (906) 205-4425
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JJDM MANAGEMENT OF MARQUETTE is a family nurse practitioner in Marquette, MI. JJDM MANAGEMENT OF MARQUETTE NPI is 1225743909. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Primo Health & Wellness.

The provider's business location address is:

712 CHIPPEWA SQ STE 100
MARQUETTE, MI
ZIP 49855-825
Phone: (906) 205-4425

The provider's authorized official is Michele Lee Premeau .
The authorized official title is Managing Member and has the following contact phone number (906) 250-5051.

The CLIA number assigned to this NPI record is 23D2283261 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/18/2023 and was last updated on 4/26/2023.


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
1363LF0000XNurse PractitionerFamilyYes

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

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