Individual
JENNIFER WOLFFIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSN, RN, PMHNP
Contact information
Practice address
17325 VAN WAGONER RD, SPRING LAKE, MI 49456-9702
(616) 847-5145
(616) 842-1495
Mailing address
300 68TH ST SE, GRAND RAPIDS, MI 49548-6927
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4704225396
MI
Other
Enumeration date
09/08/2016
Last updated
04/24/2024
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