Individual
JENNIFER CARRIER-MASSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
235 WEALTHY ST SE, GRAND RAPIDS, MI 49503-5247
(616) 840-8000
Mailing address
235 WEALTHY ST SE, GRAND RAPIDS, MI 49503-5247
(616) 840-8000
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4704268682
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4704268682
MICHIGAN LICENSE
MI
Enumeration date
05/21/2019
Last updated
03/31/2021
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