Individual
MEGAN JOY IPEMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP, DNP
Contact information
Practice address
4124 56TH ST SW STE 4, WYOMING, MI 49418-9494
(616) 785-3883
(616) 785-1982
Mailing address
10450 RIVER BLUFF TRL, ZEELAND, MI 49464-1421
(616) 403-0680
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
4704259357
MI
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
4704259357
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1699053827
—
MI
Enumeration date
07/21/2011
Last updated
11/24/2025
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