Individual
JESSICA PROCIV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
6938 ELM VALLEY DR STE 101, KALAMAZOO, MI 49009-7438
(269) 552-4167
(269) 552-4216
Mailing address
3928 N ROSEBUD DR SE, APT #8, KENTWOOD, MI 49512-9404
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5302037973
MI
1835P2201X
Ambulatory Care Pharmacist
5302037973
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5302037973
STATE OF MICHIGAN BOARD OF PHARMACY
MI
Enumeration date
09/28/2011
Last updated
12/17/2018
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us