Individual
JESSICA TERHORST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
31 AMHERST RD, PLEASANT RIDGE, MI 48069-1204
(616) 481-5830
Mailing address
31 AMHERST RD, PLEASANT RIDGE, MI 48069-1204
(616) 481-5830
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4704294630
MI
Other
Enumeration date
10/10/2021
Last updated
10/10/2021
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