Individual
MR. JAMES REVORD
Active
Individual
MR. JAMES REVORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Taxonomy
Speciality
Code
Description
License number
State
163WA2000X
Administrator Registered Nurse
4704267931
MI
163WC1600X
Continuing Education/Staff Development Registered Nurse
Primary
4704267931
MI
163WH1000X
Hospice Registered Nurse
4704267931
MI
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
08/29/2025
Last updated
08/29/2025
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