Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jacob Prevost

Individual provider Chore Provider · NPI 1396505335

Jacob Prevost is a Chore Provider in Burtchville, Michigan. Registered with an NPI since 2024.

In the registry since
2024

Practice location Address checks out

6117 Old Country Ln
Burtchville, MI 48059-2415
Phone: (810) 388-1200
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Chore Provider (primary) Taxonomy 372500000X

Record details

NPI number1396505335
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 19, 2024
Last updated in NPPESMarch 19, 2024
Certification dateMarch 19, 2024
Mailing address2609 17th Ave, Port Huron, MI 48060-2724

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