| NPI | 1356093553 |
|---|---|
| NPI Type | NPI-1 Individual |
| Status | Active |
| Enumeration Date | 2022-01-19 |
| Last Updated | 2025-03-17 |
| Mailing Address | 1 Ford Pl Ste 3a Detroit, MI 48202-3450 United States 📍 View Map |
| Primary Practice Address | 205 N East Ave Jackson, MI 49201-1753 United States Phone: (517) 205-7836 📍 View Map |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| Yes | 363LF0000X – Nurse Practitioner, Family | MI | 4704341497 |
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About NPI 1356093553
Kefah Abbas Mazloum is a healthcare provider registered in the CMS NPPES NPI Registry with NPI number 1356093553. The primary specialty listed is Nurse Practitioner, Family. The provider is located in Jackson, MI. This NPI is classified as a Type 1 (Individual) NPI and is currently active. The NPI was first enumerated (assigned) on 2022-01-19. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1356093553?
NPI 1356093553 belongs to Kefah Abbas Mazloum, a Nurse Practitioner, Family in Jackson, MI. It is a Type 1 Individual NPI registered in the CMS NPPES NPI Registry.
Is NPI 1356093553 active?
The current status of NPI 1356093553 in the NPPES registry is Active. The record was last updated on 2025-03-17.
What specialty is NPI 1356093553?
NPI 1356093553 is classified under the taxonomy Nurse Practitioner, Family. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.
How do I verify NPI 1356093553?
You can verify NPI 1356093553 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.
What address is on file for NPI 1356093553?
The primary practice address on file for NPI 1356093553 is 205 N East Ave, Jackson, MI 49201-1753. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1356093553 issued?
NPI 1356093553 was first issued (enumerated) on 2022-01-19. The NPPES record was last updated on 2025-03-17.
Practice Location Map
Kefah Abbas Mazloum is located at 205 N East Ave, Jackson, MI. Use the map below to find directions or verify the practice location.
Related Healthcare Providers
The following providers share the same practice location, specialty, or state as Kefah Abbas Mazloum. All records sourced from the CMS NPPES registry.
License Information
The following state license numbers are on file in the NPPES registry for NPI 1356093553. For license status verification, contact the relevant state licensing board directly.
| Specialty / Taxonomy | License Number | State |
|---|---|---|
| Nurse Practitioner, Family | 4704341497 | MI |