Individual
MRS. JESSICA WAITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
40 FULLER AVE NE, GRAND RAPIDS, MI 49503-3663
(517) 281-2126
Mailing address
40 FULLER AVE NE, GRAND RAPIDS, MI 49503-3663
(517) 281-2126
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
4704276969
MI
367A00000X
Advanced Practice Midwife
Primary
4704276969
MI
Other
Enumeration date
05/11/2017
Last updated
05/11/2017
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