Individual
JENNIFER LYNN MOILANEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
107 N BRIDGE ST, SARANAC, MI 48881-5121
(616) 642-9408
(616) 642-6940
Mailing address
107 N BRIDGE ST, SARANAC, MI 48881-5121
(616) 642-9408
(616) 642-6940
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704249083
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
363LF0000X
NURSE PRACTITIONER
MI
Enumeration date
08/28/2012
Last updated
08/28/2012
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