Individual
MR. JAMES REVORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
7171 GLENMEADOW CT, GRAND BLANC, MI 48439-7586
(810) 938-0720
Mailing address
7171 GLENMEADOW CT, GRAND BLANC, MI 48439-7586
(810) 938-0720
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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