JILL ANN LAFORGE AGNP NPI 1235840505

NPI Information

  • NPI: 1235840505
  • Provider Name: JILL ANN LAFORGE, AGNP
  • Classification: Nurse Practitioner - 363LG0600X
  • Specialization: Gerontology
  • Entity Type: Individual
  • Address: 145 MICHIGAN ST NE STE 3410
    GRAND RAPIDS, MI
    ZIP 49503
  • Phone: (616) 391-9945

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NPI Details

Jill Ann Laforge, AGNP is a gerontology nurse practitioner in Grand Rapids, MI. Jill Ann Laforge, AGNP NPI is 1235840505. 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:

145 MICHIGAN ST NE STE 3410
GRAND RAPIDS, MI
ZIP 49503-563
Phone: (616) 391-9945

The enumeration date for this NPI number is 12/7/2022 and was last updated on 2/24/2023.

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:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LG0600XNurse PractitionerGerontology4704159260MICHIGANYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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