Individual
JESSICA MASTBERGEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
10850 E TRAVERSE HWY STE 1155, TRAVERSE CITY, MI 49684-1363
(231) 268-0013
(469) 319-9379
Mailing address
10850 E TRAVERSE HWY STE 1155, TRAVERSE CITY, MI 49684-1363
(231) 268-0013
(469) 319-9379
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
4704301869
MI
Other
Enumeration date
06/08/2018
Last updated
04/02/2026
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