Individual
JORDAN NICOLE GOTTSCHALK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
601 JOHN ST # 74, KALAMAZOO, MI 49007-5341
(269) 341-8481
Mailing address
6941 S 12TH ST, PORTAGE, MI 49024-1017
(269) 317-8376
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4704311292
MI
Other
Enumeration date
06/22/2021
Last updated
08/03/2021
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