Individual
JACQUELYN RENEE VORACHEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
100 MICHIGAN ST NE # MC031, GRAND RAPIDS, MI 49503-2560
(616) 267-8244
Mailing address
100 MICHIGAN ST NE # MC845, GRAND RAPIDS, MI 49503-2560
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
4704286714
MI
Other
Enumeration date
12/19/2018
Last updated
01/12/2022
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