Individual
JODI KORTMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
100 MICHIGAN ST NE, SUITE 4297, GRAND RAPIDS, MI 49503-2560
(616) 267-7104
(616) 267-7594
Mailing address
100 MICHIGAN ST NE # MC845, GRAND RAPIDS, MI 49503-2560
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704273100
MI
Other
Enumeration date
07/23/2014
Last updated
02/25/2021
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