person
Ms. Jayne Deur Pettinga, NURSEPRACTITIONER
Family Nurse Practitioner in Grand Rapids, Michigan
NPI 1124280219

Jayne Deur Pettinga is a Family Nurse Practitioner based in Grand Rapids, MI and is specialized in Family. Jayne Deur Pettinga practices in Grand Rapids, MI and has the professional credentials of NURSEPRACTITIONER. The NPI Number for Jayne Deur Pettinga is 1124280219 and holds a License No. 4704119236 (Michigan).

The current practice location address for Jayne Deur Pettinga is 3200 Knight Way Se, Grand Rapids, MI and can be reached out via phone at 616-526-6187 and via fax at 616-526-6548.

Location: 3200 Knight Way Se, Grand Rapids, MI, 49546-4407
person
Provider Profile Details
NPI Number
1124280219
Provider Name
Jayne Deur Pettinga
Credential
NURSEPRACTITIONER
Provider Entity Type
Individual
Gender
Female
Address
3200 Knight Way Se, Grand Rapids, MI, 49546-4407
Phone Number
616-526-6187
Fax Number
616-526-6548
Provider Enumeration Date
06/30/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
3200 Knight Way Se
City
State
Zip
49546-4407
Phone Number
616-526-6187
Fax Number
616-526-6548
person
Provider Business Mailing Address Details
Address
3200 Knight Way Se
City
State
Zip
49546-4407
Phone Number
616-526-6187
Fax Number
616-526-6548
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
4704119236 (Michigan)
Definition
Definition to come...
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