Lyons, Jessica A

Lyons, Jessica A is an sole proprietor health care provider with primary practice located at 11751 Nottingham Rd , Detroit MI 48224-4100. She recently has 14 registered licenses in different health care specialties including Other Service Providers / Military Health Care Provider, Other Service Providers / Reflexologist, Other Service Providers / Meals, Agencies / Home Health, Agencies / Community/Behavioral Health, Agencies / Program of All-Inclusive Care for the Elderly (PACE) Provider Organization, Agencies / In Home Supportive Care, Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities, Nursing Service Related Providers / Adult Companion, Nursing Service Related Providers / Attendant Care Provider, Nursing Service Related Providers / Personal Care Attendant, Nursing Service Related Providers / Homemaker, Nursing Service Related Providers / Nurse's Aide, Nursing Service Related Providers / Chore Provider. Nursing Service Related Providers / Chore Provider is her primary health care specialty. Lyons, Jessica A can be contacted via phone (313) 208-3219.

Contact Information

Primary practice address
11751 Nottingham Rd Detroit MI 48224-4100
Phone: (313) 208-3219
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Military Health Care Provider 171000000X
Other Service Providers / Reflexologist 173C00000X
Other Service Providers / Meals 174200000X
Agencies / Home Health 251E00000X
Agencies / Community/Behavioral Health 251S00000X
Agencies / Program of All-Inclusive Care for the Elderly (PACE) Provider Organization 251T00000X
Agencies / In Home Supportive Care 253Z00000X
Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 320900000X
Nursing Service Related Providers / Adult Companion 372600000X
Nursing Service Related Providers / Attendant Care Provider 3747A0650X
Nursing Service Related Providers / Personal Care Attendant 3747P1801X
Nursing Service Related Providers / Homemaker 376J00000X
Nursing Service Related Providers / Nurse's Aide 376K00000X
Nursing Service Related Providers / Chore Provider 372500000X

Profile Details

NPI number 1255818977
LBN Legal business name Lyons, Jessica A
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 25th, 2018
Last updated May 31st, 2019 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1255818977 NPPES
Michigan MEDICAID 815059937
Michigan Other 372500000X

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