Individual
JORDAN NICKLEY NEMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
5973 BEATRICE DR, KALAMAZOO, MI 49009-9583
(269) 286-7110
(269) 286-7111
Mailing address
601 JOHN STREET, BOX 42, KALAMAZOO, MI 49007
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
10002874A
IN
363A00000X
Physician Assistant
Primary
5601012161
MI
363AS0400X
Surgical Physician Assistant
99096106A
IN
Other
Enumeration date
11/07/2019
Last updated
05/31/2024
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