Individual
JESSICA STARR GREVENSTUK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
3200 GREENFIELD RD STE 300, DEARBORN, MI 48120-1805
(574) 546-1900
(574) 546-1999
Mailing address
3235 N WELLNESS DR STE 120B, HOLLAND, MI 49424-8035
(616) 399-9522
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
4704257219
MI
Other
Enumeration date
08/26/2013
Last updated
03/12/2025
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