Individual
JODIE RISNES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4000 WELLNESS DR, MIDLAND, MI 48670-0001
(989) 839-1644
Mailing address
4000 WELLNESS DR, MIDLAND, MI 48670-0001
(989) 839-1644
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4704276448
MI
Other
Enumeration date
11/04/2013
Last updated
02/20/2014
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