MRS. JOANNE LOIS JEPSEN ANP-BC NPI 1063742518

NPI Information

MRS. Joanne Lois Jepsen, ANP-BC is an adult health nurse practitioner in Grand Rapids, MI with 16 years of experience. MRS. Joanne Lois Jepsen, ANP-BC NPI is 1063742518. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2100 RAYBROOK AVE SE
SUITE 300
GRAND RAPIDS, MI
ZIP 49546
Phone: (616) 340-9763

The NPI 1063742518 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 1/6/2010 and was last updated on 5/1/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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