Individual
JEANETTE LYNN QUICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
3264 N EVERGREEN DR NE, GRAND RAPIDS, MI 49525-9746
(616) 363-7339
(616) 361-5828
Mailing address
3264 N EVERGREEN DR NE, GRAND RAPIDS, MI 49525-9746
(616) 363-7339
(616) 361-5828
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704255150
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4704255150
STATE LICENSE
MI
Enumeration date
08/05/2014
Last updated
10/11/2016
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