Individual
JODI LYNN CHURCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
10260 S SHERIDAN RD, FENWICK, MI 48834-9776
(616) 894-2978
Mailing address
11075 10 MILE RD NE, ROCKFORD, MI 49341-9097
(616) 894-2978
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704355159
MI
Other
Enumeration date
12/08/2025
Last updated
12/08/2025
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