Individual
EMILY ALISON JANDASEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP
Contact information
Practice address
100 MICHIGAN ST NE, GRAND RAPIDS, MI 49503-2560
(616) 267-0118
Mailing address
100 MICHIGAN ST NE # MC845, GRAND RAPIDS, MI 49503-2560
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
4704285969
MI
363LP0200X
Pediatric Nurse Practitioner
924868
TX
Other
Enumeration date
07/08/2017
Last updated
02/17/2021
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