JENNIFER RAE VANLOAN FNP-BC NPI 1336211762

NPI Information

NPI: 1336211762
Provider Name: JENNIFER RAE VANLOAN, FNP-BC
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
107 N BRIDGE ST
SARANAC, MI
ZIP 48881
Phone: (616) 642-9408
Get Directions

Jennifer Rae Vanloan, FNP-BC is a family nurse practitioner in Saranac, MI with 14 years of experience. Jennifer Rae Vanloan, FNP-BC NPI is 1336211762. 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:

107 N BRIDGE ST
SARANAC, MI
ZIP 48881-121
Phone: (616) 642-9408
Fax: (616) 642-6940

The NPI 1336211762 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 11/14/2006 and was last updated on 10/31/2023.

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	163W00000X	Registered Nurse		4704254772	MICHIGAN	No
2	363L00000X	Nurse Practitioner		4704254772	MICHIGAN	No
3	363LF0000X	Nurse Practitioner	Family	4704254772	MICHIGAN	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1715928	MEDICAID	MICHIGAN

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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