Individual
JENNA ESTRADA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1541 GULL RD STE 100, KALAMAZOO, MI 49048-1645
(269) 381-7380
Mailing address
3245 HEALTH DR, GRANGER, IN 46530-1380
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601013106
MI
363A00000X
Physician Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1770386096
—
MI
Enumeration date
03/31/2025
Last updated
02/12/2026
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