JESSICA VANDENBERG NPI 1184168312

NPI Information

Jessica Vandenberg is a specialist in Grand Rapids, MI. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. Jessica Vandenberg NPI is 1184168312. 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:

5060 CASCADE RD SE STE A
GRAND RAPIDS, MI
ZIP 49546-808
Phone: (616) 954-0950

The enumeration date for this NPI number is 12/7/2016 and was last updated on 12/7/2016.

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:

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