JEFFREY THOMAS SNYDER FNP-C NPI 1114493384

NPI Information

  • NPI: 1114493384
  • Provider Name: JEFFREY THOMAS SNYDER, FNP-C
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1455 S LAPEER RD STE 102
    LAKE ORION, MI
    ZIP 48360
  • Phone: (248) 232-0100

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NPI Details

Jeffrey Thomas Snyder, FNP-C is a family nurse practitioner in Lake Orion, MI with 19 years of experience. Jeffrey Thomas Snyder, FNP-C NPI is 1114493384. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1455 S LAPEER RD STE 102
LAKE ORION, MI
ZIP 48360-468
Phone: (248) 232-0100

The NPI 1114493384 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 10/15/2018 and was last updated on 10/15/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LF0000XNurse PractitionerFamily4704257165NSA180V3MICHIGANYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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