Unknown Individual – Registered Nurse, NPI 1972897130

Unknown Individual is a healthcare provider. based in Grand blanc, Michigan. specializing in Registered Nurse. They hold a License No. 4704103738 (MI). The NPI Number for Unknown Individual is 1972897130

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1972897130
Phone
(810) 603-0877
Address
12029 JUNIPER WAY
Deactivation Date
13 October 2023
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience14
Completeness75
Years active:0State licenses:1Digital endpointsOther names

Provider Addresses for Unknown Individual

  • 12029 JUNIPER WAY

    #420B

    GRAND BLANC, MI 484391787

    Phone: (810) 603-0877

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 48439)

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Reviews

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Frequently asked questions

Can I cross-check Unknown Individual using NPI 1972897130?
NPI 1972897130 belongs to Unknown Individual; compare other details if you need extra assurance.
Does inactive status mean Unknown Individual stopped practicing?
Inactive registry status can reflect deactivation, consolidation, or data lag.
What area of care is associated with Unknown Individual?
Unknown Individual's record emphasizes Registered Nurse. Clinical services aligned with this taxonomy classification.
What practice footprint exists for Unknown Individual?
Travel planning: use Grand Blanc, Michigan as the reference point for Unknown Individual, then confirm.
Does Unknown Individual accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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