Individual
JENNIFER LEE KOLBIAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
4677 TOWNE CENTRE RD STE 301, SAGINAW, MI 48604
(855) 298-9888
(989) 497-3128
Mailing address
PO BOX 779, TAWAS CITY, MI 48764-0779
(855) 298-9888
(989) 497-3125
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704225779
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
078
CARE SOURCE OF MICHIGAN
MI
01
—
1194979955
MOLINA HEALTH CARE OF MICHIGAN
MO
05
—
1194979955
—
MI
01
—
194526
GREAT LAKES HEALTH PLAN
MI
01
—
381908328
HCAP
MI
01
—
500G310570
BLUE CROSS BLUE SHIELD OF MICHIGAN
MI
01
—
62748
MERIDIAN HEALTH PLAN
MI
Enumeration date
11/06/2008
Last updated
04/06/2021
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