Provider Demographics
NPI:1548718349
Name:VENIER, JESSICA 'CAMERON'
Entity type:Individual
Prefix:
First Name:JESSICA 'CAMERON'
Middle Name:
Last Name:VENIER
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:CAMERON
Other - Middle Name:ELIAS ALEK
Other - Last Name:VENIER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:5608 APPLETON AVE APT 28
Mailing Address - Street 2:
Mailing Address - City:LANSING
Mailing Address - State:MI
Mailing Address - Zip Code:48911-3904
Mailing Address - Country:US
Mailing Address - Phone:517-974-1447
Mailing Address - Fax:
Practice Address - Street 1:5608 APPLETON AVE APT 28
Practice Address - Street 2:
Practice Address - City:LANSING
Practice Address - State:MI
Practice Address - Zip Code:48911-3904
Practice Address - Country:US
Practice Address - Phone:517-974-1447
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-09-21
Last Update Date:2016-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes247200000XTechnologists, Technicians & Other Technical Service ProvidersTechnician, Other