Individual
MRS. JENNIFER JEANNETTE WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P
Contact information
Practice address
100 MICHIGAN ST NE, SUITE 8861, GRAND RAPIDS, MI 49503-2560
(616) 391-0800
(616) 391-0801
Mailing address
100 MICHIGAN ST NE, MC 845, GRAND RAPIDS, MI 49503-2560
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN2260475
MA
363L00000X
Nurse Practitioner
Primary
4704315332
MI
363LA2100X
Acute Care Nurse Practitioner
RN2260475
MA
Other
Enumeration date
03/15/2011
Last updated
02/22/2021
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