Individual
MR. JONATHAN RALPH EDGETTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP-C
Contact information
Practice address
302 KENSINGTON AVE, FLINT, MI 48503-2044
(810) 762-8400
(810) 762-8118
Mailing address
302 KENSINGTON AVE, FLINT, MI 48503-2044
(810) 762-8400
(810) 762-8118
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4704253991
MI
Other
Enumeration date
10/18/2022
Last updated
12/10/2025
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