Jennifer Sue White in Grand Rapids - Nurse Practitioner
Jennifer Sue White - NPI 1154385797
Jennifer Sue White is a Nurse Practitioner in Grand Rapids, Michigan. Jennifer Sue White practices all healthcare services and medical treatments related to Nurse Practitioner. The NPI Number for Jennifer Sue White is 1154385797. The last update date is 2021-05-05.
Jennifer Sue White's current location address is 5555 Glenwood Hills Pkwy Se Ste 2, Grand Rapids, Michigan. You can contact this provider via phone number 6169402662 and fax number 6169401965. The mailing address for Jennifer Sue White is 5555 Glenwood Hills Pkwy Se Ste 2, Grand Rapids, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jennifer Sue White |
|---|---|
| Address | 5555 Glenwood Hills Pkwy Se Ste 2, Grand Rapids, Michigan |
| Phone Number | 6169402662 |
| Fax Number | 6169401965 |
| Sole Proprietor | N |
| Credentials | NP |
NPI Number Detail
| NPI Number | 1154385797 |
|---|---|
| Provider Enumeration Date | 2006-04-12 |
| Last Updated Date | 2021-05-05 |
Provider Mailing Address Detail
| Address | 5555 Glenwood Hills Pkwy Se Ste 2 |
|---|---|
| City | Grand Rapids |
| State | Michigan (MI) |
| Post Code | 495122091 |
| Phone Number | 6169402662 |
| Fax Number | 6169401965 |
Provider's Primary Taxonomy Detail
| Speciality | Nurse Practitioner |
|---|---|
| Taxonomy | 363L00000X |
| Licence No | 4704231087 |
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Definition: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certifi |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 5008702080 | MI | BLUE CROSS BLUE SHIELD | |
| P00083556 | RAILROAD MEDICARE | ||
| 4582350 | MI | -- | |
| 4507487 | MI | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Jennifer Sue White by the Centers for Medicare & Medicaid Services (CMS)?
The Jennifer Sue White has been assigned the NPI (National Provider Identifier) 1154385797. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you provide the complete physical address where Jennifer Sue White is located?
The Jennifer Sue White is situated at the following address: 5555 Glenwood Hills Pkwy Se Ste 2, Grand Rapids, MI, 495122091.
What is the Jennifer Sue White's specialty and taxonomy code?
The Jennifer Sue White's specialty is Nurse Practitioner, and the corresponding taxonomy code is 363L00000X.
When did Jennifer Sue White receive its 1154385797 assignment?
The Jennifer Sue White was assigned its 1154385797 on 2006-04-12, which is the date when this unique identifier was issued to the organization.
When was the information related to Jennifer Sue White most recently updated or refreshed?
The details pertaining to the Jennifer Sue White, including its address, specialty, and other relevant information, were last updated or refreshed on 2021-05-05.