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JESSICA L WALZ
NPI 1003332651
Student in an Organized Health Care Education/Training Program in Manchester, MI

Active since August 16, 2017
9235 GROSSMAN RD, MANCHESTER, MI 48158(313) 350-0812 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jul 21, 2022, Aug 16, 2017 (2 updates tracked since 2017).

About Jessica L Walz NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JESSICA L WALZ (NPI 1003332651) is an individual student in an organized health care education/training program in Manchester, Michigan and active in the NPI registry since August 2017.

NPPES Registry Identity

NPI1003332651
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameJESSICA L WALZ
Location Address9235 GROSSMAN RDManchester, MI 48158
Mailing Address9235 Grossman RdManchester, MI 48158-8613 · (313) 350-0812
Phone(313) 350-0812
Sole ProprietorYes
Enumeration DateAugust 16, 2017
Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration
✔ NPI 1003332651 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Also ListedSpecialist/Technologist · Athletic TrainerTaxonomy 2255A2300X
9235 GROSSMAN RD, Manchester, MI 48158
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Frequently Asked Questions

What is Jessica Walz's NPI number?

The NPI number assigned to this healthcare provider is 1003332651, enumerated as an "individual" on August 16, 2017.

Where is the provider located?

The provider is located at 9235 GROSSMAN RD MANCHESTER, MI 48158 and the phone number is (313) 350-0812.

What is the provider's specialty?

Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.