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NPI Code Detail

MEDICARE: JESSICA SHEVELAND

MEDICARE: JESSICA SHEVELAND
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
1171M00000XCase Manager/Care Coordinator

General Provider Information

NPI Number : 1780525881
Entity Type Code : Individual
Provider Name (Legal Business Name) : JESSICA SHEVELAND
Provider Business Mailing Address
First Line : 901 E MOUNT HOPE AVE
Second Line :
City : LANSING
State : MI
Zip : 48910-3207
Country : US
Telephone Number : 517-999-2760
Fax Number :
Provider Business Practice Location Address
First Line : 901 E MOUNT HOPE AVE
Second Line :
City : LANSING
State : MI
Zip : 48910-3207
Country : US
Telephone Number : 517-999-2760
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/02/2026
Last Update Date : 04/02/2026

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Directions to “ JESSICA SHEVELAND ” Practice Location

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