Individual
JENNY LEE WERTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
1215 E. MICHIGAN AVE, TRAUMA CENTER, LANSING, MI 48912
(517) 364-1000
(517) 364-3525
Mailing address
804 SERVICE RD A201, EAST LANSING, MI 48824-7015
(517) 884-2976
(517) 432-3928
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704263382
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1770867657
—
MI
Enumeration date
10/10/2011
Last updated
06/30/2016
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