Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207R00000X | Internist | 4301095425 | MI |
Y | 111NI0900X | Internist | 4301095425 | MI |
N | 207RH0002X | Hospice and Palliative Medicine | 4301095425 | MI |
N | 207RH0002X | Hospice and Palliative Medicine | 63116 | WI |
NPI | 1184957011 |
---|---|
Provider Name | Dr. Jennifer E. Jeskey-Sabuda |
First Address | Kalamazoo, MI 49048-1623 |
Second Address | Kalamazoo, MI 49048 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/09/2009 |
Last Update Date | 01/11/2018 |