person
Molly Jane Tiesenga, APRN
Adult Health Nurse Practitioner in Grand Rapids, Michigan
NPI 1063977932

Molly Jane Tiesenga is an Adult Health Nurse Practitioner based in Grand Rapids, MI and is specialized in Adult Health. Molly Jane Tiesenga practices in Grand Rapids, MI and has the professional credentials of APRN. The NPI Number for Molly Jane Tiesenga is 1063977932 and holds a License No. 4704313324 (Michigan).

The current practice location address for Molly Jane Tiesenga is 426 Michigan St Ne, Grand Rapids, MI and can be reached out via phone at 616-267-8338.

Location: 426 Michigan St Ne, Grand Rapids, MI, 49503-2560
person
Provider Profile Details
NPI Number
1063977932
Provider Name
Molly Jane Tiesenga
Credential
APRN
Provider Entity Type
Individual
Gender
Female
Address
426 Michigan St Ne, Grand Rapids, MI, 49503-2560
Phone Number
616-267-8338
Fax Number
Provider Enumeration Date
02/05/2019
Last Update Date
04/13/2024
institution
Provider Business Practice Location Address Details
Address
426 Michigan St Ne
City
State
Zip
49503-5609
Phone Number
616-267-8338
Fax Number
person
Provider Business Mailing Address Details
Address
426 Michigan St Ne
City
State
Zip
49503-5609
Phone Number
616-267-8338
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Adult Health
Taxonomy
License No.
10021431 (Oregon)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Gerontology
Taxonomy
License No.
4704313324 (Michigan)
Definition
Definition to come...
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