Jessica Selvidge, is a
Licensed Practical Nurse based in Springfield, Michigan. Jessica Selvidge is licensed to practice in Michigan (license number 4703106030) and her current practice location is
1822 Harmonia Rd, Springfield, Michigan. She can be reached at her office (for appointments etc.) via phone at
(269) 986-1199.
NPI number for Jessica Selvidge is 1992160873 and her current mailing address is 1822 Harmonia Rd, Springfield, Michigan. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1992160873.
Provider's Profile
Full Name | Jessica Selvidge |
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Gender | Female |
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Speciality | Licensed Practical Nurse |
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Location | 1822 Harmonia Rd, Springfield, Michigan |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1992160873
- Provider Enumeration Date: 12/21/2015
- Last Update Date: 12/21/2015
Medical Identifiers
Medical identifiers for Jessica Selvidge such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1992160873 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
164W00000X | Licensed Practical Nurse | 4703106030 (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. Jessica Selvidge 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 |
Jessica Selvidge, 1822 Harmonia Rd, Springfield, MI 49037-7688 Ph: (269) 986-1199 | Jessica Selvidge, 1822 Harmonia Rd, Springfield, MI 49037-7688 Ph: (269) 986-1199 |
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