Individual
JESSICA MARIE STATON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
8653 N 32ND ST STE 1C, RICHLAND, MI 49083-9494
(269) 225-3105
Mailing address
6347 COONEY RD, DELTON, MI 49046-7751
(269) 598-1810
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704293156
MI
Other
Enumeration date
12/19/2022
Last updated
12/19/2022
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