Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207K00000X | Allergist & Immunologist | 3747 | MI |
N | 207R00000X | Internist | 3747 | MI |
N | 111NI0900X | Internist | 3747 | MI |
NPI | 1255330486 |
---|---|
Provider Name | Dr. Jennifer Kay Appleyard |
First Address | Saint Clair Shores, MI 48081-1116 |
Second Address | Saint Clair Shores, MI 48081-1116 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/07/2005 |
Last Update Date | 16/02/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1108206701 | BLUE CARE NETWORK (01) | MI |
1108206701 | BLUE SHIELD (01) | MI |
120657 | PREFERRED CHOICES (01) | MI |
1446506 | AETNA (01) | MA |
4959810 | (05) | MI |
6932488 | CIGNA (01) | MA |
C3478 | M-CARE (01) | MI |
F85539 | (02) | |
F85539 | HAP (01) | MI |