SearchMichigan106S00000X

Jordan Wregglesworth

NPI 1154254662 · on the registry since 2026

Practice

Address
1651 E Nickerson Ave
Benton Harbor, MI 49022
Phone
(269) 876-5697
Organisation at this address
Logan Community Resources, Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
308

Registry record

Primary taxonomy
106S00000X
106S00000X
Licence states on file
MI
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2026-06-04

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