Individual
JENNIFER ANNE GATES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NNP-BC
Contact information
Practice address
1200 E. MICHIGAN AVE, SPARROW HOSPITAL, LANSING, MI 48912
(517) 364-1000
Mailing address
2727 REEDS LAKE BLVD SE, GRAND RAPIDS, MI 49506-2053
(517) 896-8193
Taxonomy
Speciality
Code
Description
License number
State
363LN0000X
Neonatal Nurse Practitioner
Primary
4704278655
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1215308978
—
MI
Enumeration date
10/07/2015
Last updated
03/17/2018
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