Individual
JACQUELYN SCHUTTEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSN, FNP-C, RN, BSN
Contact information
Practice address
100 MICHIGAN ST NE, GRAND RAPIDS, MI 49503-2560
(616) 514-9007
Mailing address
316 HAYES ST NW, GRAND RAPIDS, MI 49544-9305
(616) 514-9007
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704273316
MI
Other
Enumeration date
09/09/2021
Last updated
09/09/2021
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