Individual
JILLIAN LEE MOGERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
5656 W US HIGHWAY 10, LUDINGTON, MI 49431-2454
(231) 316-1017
Mailing address
5656 W US HIGHWAY 10, LUDINGTON, MI 49431-2454
(231) 316-1017
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4704307282
MI
Other
Enumeration date
03/02/2021
Last updated
01/08/2025
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