Individual
JACQUELINE CURISTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
3230 EAGLE PARK DR NE STE 101, GRAND RAPIDS, MI 49525-7047
(616) 954-0600
Mailing address
PO BOX 5450, CAROL STREAM, IL 60197-5450
(616) 954-0600
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704318301
MI
Other
Enumeration date
01/23/2020
Last updated
05/03/2022
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