Individual
NICOLE VAN ALLEN HORNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1865 GEORGETOWN CENTER DR STE A, JENISON, MI 49428-7146
(616) 457-3510
Mailing address
1865 GEORGETOWN CENTER DR STE A, JENISON, MI 49428-7146
(616) 457-3510
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
1386058527
MI
208000000X
Pediatrics Physician
Primary
4301105244
MI
Other
Enumeration date
06/16/2014
Last updated
04/23/2026
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