Individual
JESSICA CHATMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
800 E MILHAM AVE, PORTAGE, MI 49002-1490
(269) 280-9560
Mailing address
800 E MILHAM AVE, PORTAGE, MI 49002-1490
(269) 280-9560
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
4704343951
MI
Other
Enumeration date
03/14/2022
Last updated
03/14/2022
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