Individual
JESSICA LEE FIRESTONE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1400 MERCY DR STE 100, MUSKEGON, MI 49444-1833
(231) 733-1326
(231) 733-5212
Mailing address
1400 MERCY DR STE 100, MUSKEGON, MI 49444-1833
(231) 733-1326
(231) 733-5212
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
4807
TN
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
07/15/2021
Last updated
07/29/2024
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