Individual
JONATHAN NYKAMP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
7901 S 12TH ST, PORTAGE, MI 49024-3831
(269) 978-0444
(269) 978-0447
Mailing address
2823 W D AVE, KALAMAZOO, MI 49009-5231
(616) 835-7916
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704235530
MI
Other
Enumeration date
03/31/2011
Last updated
03/31/2011
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