Individual
JOLANE SUE CONKLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
2221 1 1/2 MILE RD, FULTON, MI 49052-9632
(269) 729-4422
Mailing address
2221 1 1/2 MILE RD, FULTON, MI 49052-9632
(269) 729-4422
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704245491
MI
Other
Enumeration date
12/09/2010
Last updated
02/26/2013
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