Individual
JENNIFER CHURCHILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN
Contact information
Practice address
1140 E MICHIGAN AVE STE 400, LANSING, MI 48912-1806
(517) 364-9650
(517) 364-9605
Mailing address
804 SERVICE RD STE A109F, EAST LANSING, MI 48824-7015
(517) 884-2976
(517) 432-3928
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4704295307
MI
364S00000X
Clinical Nurse Specialist
4704295307
MI
Other
Enumeration date
07/13/2018
Last updated
06/25/2025
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