Individual
JOY ELLEN LEPO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGPCNP-BC
Contact information
Practice address
15491 LAKE AVE, GRAND HAVEN, MI 49417-8506
(616) 638-3840
Mailing address
15491 LAKE AVE, GRAND HAVEN, MI 49417-8506
(616) 638-3840
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4704216391
MI
Other
Enumeration date
09/03/2024
Last updated
09/03/2024
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