MEDICARE: DEENAH CAVILL FNP-BC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	4704273202	MI
2	163W00000X	Registered Nurse	4704273202	MI

General Provider Information

NPI Number	:	1174012595
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DEENAH CAVILL FNP-BC

Provider Business Mailing Address
First Line	:	1 FORD PL STE 3A
Second Line	:
City	:	DETROIT
State	:	MI
Zip	:	48202-3450
Country	:	US
Telephone Number	:	800-999-5829
Fax Number	:	313-876-1305

Provider Business Practice Location Address
First Line	:	3305 SPRING ARBOR RD STE 200
Second Line	:
City	:	JACKSON
State	:	MI
Zip	:	49203-3995
Country	:	US
Telephone Number	:	517-205-1285
Fax Number	:	313-876-1305

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/02/2018
Last Update Date	:	04/13/2026

Similar Medicare Providers

1972890085 — DR. DIANA MARIE FLIS M.D.
Practice Location Address:

3305 SPRING ARBOR RD STE 200
JACKSON, MI
49203-3995

Practice Phone: 517-205-2107
Practice Fax:

1194107755 — CARISSA J MAY MD
Practice Location Address:

3305 SPRING ARBOR RD STE 200
JACKSON, MI
49203-3995

Practice Phone: 517-205-1285
Practice Fax: 517-205-0115

1407423692 — RACHEL SHARE
Practice Location Address:

3305 SPRING ARBOR RD STE 200
JACKSON, MI
49203-3995

Practice Phone: 517-205-2107
Practice Fax:

1043755424 — SARAH MAURER LMSW, CAADC
Practice Location Address:

515 S WEST AVE STE 201
JACKSON, MI
49203-1639

Practice Phone: 734-408-1769
Practice Fax:

1639042807 — JAMIE E LIGHTNER
Practice Location Address:

2900 SPRING ARBOR RD
JACKSON, MI
49203-3610

Practice Phone: 517-939-9793
Practice Fax:

1760486583 — DR. HARESH JANI M.D.
Practice Location Address:

2575 SPRING ARBOR RD , STE 400
JACKSON, MI
49203-3652

Practice Phone: 517-787-7844
Practice Fax: 517-783-5044

Directions to “ DEENAH CAVILL FNP-BC” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.