Search › Michigan › 363LF0000X
Jayne Pettinga, NURSE PRACTITIONER
NPI 1124280219 · on the registry since 2008 · sole proprietor
Practice
- Address
- 3200 Knight Way Se
Calvin College Health Services
Grand Rapids, MI 49546 - Phone
- (616) 526-6187
- Fax
- (616) 526-6548
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 363LF0000X
363LF0000X
- Licence states on file
- MI
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2008-06-30
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan