Jaclyn Lee Hunt, is a
Licensed Practical Nurse based in Kentwood, Michigan. Jaclyn Lee Hunt is licensed to practice in Michigan (license number 4703115744) and her current practice location is
2111 S Shore Dr Se Apt 102, Kentwood, Michigan. She can be reached at her office (for appointments etc.) via phone at
(734) 788-3183.
NPI number for Jaclyn Lee Hunt is 1811456965 and her current mailing address is 2111 S Shore Dr Se Apt 102, Kentwood, Michigan. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1811456965.
Provider's Profile
| Full Name | Jaclyn Lee Hunt |
|---|
| Gender | Female |
|---|
| Speciality | Licensed Practical Nurse |
|---|
| Location | 2111 S Shore Dr Se Apt 102, Kentwood, Michigan |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1811456965
- Provider Enumeration Date: 03/18/2019
- Last Update Date: 03/18/2019
Medical Identifiers
Medical identifiers for Jaclyn Lee Hunt such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1811456965 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 164W00000X | Licensed Practical Nurse | 4703115744 (Michigan) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jaclyn Lee Hunt is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Jaclyn Lee Hunt, 2111 S Shore Dr Se Apt 102, Kentwood, MI 49508-0907 Ph: (734) 788-3183 | Jaclyn Lee Hunt, 2111 S Shore Dr Se Apt 102, Kentwood, MI 49508-0907 Ph: (734) 788-3183 |
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