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Jorge Zamudio Mora, NP
Family Nurse Practitioner in Grand Rapids, Michigan
NPI 1861065369

Jorge Zamudio Mora is a Family Nurse Practitioner based in Grand Rapids, MI and is specialized in Family. Jorge Zamudio Mora practices in Grand Rapids, MI and has the professional credentials of NP. The NPI Number for Jorge Zamudio Mora is 1861065369 and holds a License No. 4704310903 (Michigan).

The current practice location address for Jorge Zamudio Mora is 2750 E Beltline Ave Ne, Grand Rapids, MI and can be reached out via phone at 616-267-7015.

Location: 2750 E Beltline Ave Ne, Grand Rapids, MI, 49503-2560
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1861065369
Provider Name
Jorge Zamudio Mora
Credential
NP
Provider Entity Type
Individual
Gender
Male
Address
2750 E Beltline Ave Ne, Grand Rapids, MI, 49503-2560
Phone Number
616-267-7015
Fax Number
Provider Enumeration Date
07/21/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2750 E Beltline Ave Ne
City
Grand Rapids
State
Michigan
Zip
49525-8614
Phone Number
616-267-7015
Fax Number
person
Provider Business Mailing Address Details
Address
2750 E Beltline Ave Ne
City
Grand Rapids
State
Michigan
Zip
49525-8614
Phone Number
616-267-7015
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
4704310903 (Michigan)
Definition
Definition to come...
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