Individual
JENNIFER LAPORTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
301 W WACKERLY ST, MIDLAND, MI 48640-2761
(989) 832-9000
Mailing address
4000 WELLNESS DR, MIDLAND, MI 48670-2000
(844) 832-1956
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4704234074
MI
Other
Enumeration date
09/19/2019
Last updated
09/19/2019
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