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

Jordan Thomas Bozzo

Individual provider Certified Registered Nurse Anesthetist · NPI 1437763737

Jordan Thomas Bozzo is a Certified Registered Nurse Anesthetist (CRNA) in Grand Blanc, Michigan. Qualified in 2020, 6 years ago. Practices with Northstar Anesthesia of Michigan III PLLC, a 567-clinician group. Licensed in Michigan.

Years since qualifying
6
Licensed in
MI
In the registry since
2020
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Practice location Address checks out

1 Genesys Pkwy
Grand Blanc, MI 48439-8065
Phone: (810) 606-5000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence 4704304246 (MI)

Record details

NPI number1437763737
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedSeptember 3, 2020
Last updated in NPPESSeptember 24, 2020
Certification dateSeptember 24, 2020
Mailing address7408 Westbury Blvd, West Bloomfield, MI 48322-2816

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Northstar Anesthesia Of Michigan Iii Pllc — 567 clinicians
Accepts Medicare assignment Not indicated

Other providers in Grand Blanc