MEDICARE: JESSICA E FOUST

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	104100000X	Social Worker	6801118846	MI

General Provider Information

NPI Number	:	1629737739
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JESSICA E FOUST

Provider Business Mailing Address
First Line	:	11581 CHICAGO RD
Second Line	:
City	:	JEROME
State	:	MI
Zip	:	49249-9000
Country	:	US
Telephone Number	:	517-812-1922
Fax Number	:

Provider Business Practice Location Address
First Line	:	212 E. BIDDLE ST
Second Line	:
City	:	JACKSON
State	:	MI
Zip	:	49203-9000
Country	:	US
Telephone Number	:	517-783-3434
Fax Number	:

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

Provider Enumeration Date	:	12/16/2021
Last Update Date	:	12/12/2025

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Directions to “ JESSICA E FOUST ” Practice Location

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