Organization
JUST US DIVINE HEALTH AND WELLNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NICOLE LOVE PA (OWNER)
(231) 304-0270
Entity
Organization
Contact information
Practice address
3102 GLADE ST, MUSKEGON, MI 49444-2706
(231) 304-0270
(231) 304-0271
Mailing address
3102 GADE STREET, GRAND HAVEN, MI 49444
(231) 304-0270
(231) 304-0271
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
—
—
Other
Enumeration date
11/11/2024
Last updated
04/22/2026
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