Individual
JESSICA NICOLE ANDRINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP-AC
Contact information
Practice address
330 BARCLAY AVE NE STE 202, GRAND RAPIDS, MI 49503-2525
(616) 458-1722
Mailing address
1668 SOUTHPOINTE TRL, OTSEGO, MI 49078-9323
(269) 267-6732
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
4704273953
MI
363LP0222X
Critical Care Pediatric Nurse Practitioner
Primary
4704273953
MI
Other
Enumeration date
08/28/2018
Last updated
09/24/2018
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