Individual
MALLORY JANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1140 E MICHIGAN AVE STE 200, LANSING, MI 48912-1806
(517) 364-9400
(517) 487-3148
Mailing address
401 W GREENLAWN AVE, LANSING, MI 48910-2819
(517) 975-7206
(517) 975-7210
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704272847
MI
Other
Enumeration date
01/10/2022
Last updated
04/03/2025
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