Search › Michigan › 367500000X
Jason Fennema, CRNA
NPI 1174060537 · on the registry since 2017
Practice
- Address
- 200 Jefferson Ave Se
Grand Rapids, MI 49503 - Phone
- (616) 391-1609
- Organisation at this address
- Hackley Hospital
Kent Radiology Pc
Mercy Health Saint Mary'S
Saint Mary'S Health Services
Saint Mary'S Health ServicesInferred from a shared address, not stated in the registry. - Clinicians at this address
- 335
Additional practice sites
- 550 W Western Ave Ste B, Muskegon, MI
- 1500 E Sherman Blvd, Muskegon, MI
- 1309 Sheldon Rd, Grand Haven, MI
Registry record
- Primary taxonomy
- 367500000X
367500000X
- Licence states on file
- MI
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-01-26
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