Individual
JESSICA SIMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
812 E JOLLY RD, LANSING, MI 48910-6818
(517) 346-8189
Mailing address
16430 PARK LAKE RD, LOT 196, EAST LANSING, MI 48823-9301
(517) 930-2747
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704294021
MI
Other
Enumeration date
07/07/2016
Last updated
07/07/2016
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