Individual
MS. JENNA LYNN STUMP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
2283 E M 113, KINGSLEY, MI 49649-9370
(231) 263-0700
(231) 263-0707
Mailing address
6227 FRANKFORT HWY, BENZONIA, MI 49616-8632
(231) 882-9661
(231) 882-9616
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601005565
MI
Other
Enumeration date
08/24/2009
Last updated
08/21/2015
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