JUST US DIVINE HEALTH AND WELLNESS NPI 1467276030

NPI Information

  • NPI: 1467276030
  • Provider Name: JUST US DIVINE HEALTH AND WELLNESS
  • Classification: Physician Assistant - 363AM0700X
  • Specialization: Medical
  • Entity Type: Organization
  • Address: 16986 ROBBINS RD
    GRAND HAVEN, MI
    ZIP 49417
  • Phone: (616) 213-0253

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NPI Details

JUST US DIVINE HEALTH AND WELLNESS is a medical physician assistant in Grand Haven, MI. JUST US DIVINE HEALTH AND WELLNESS NPI is 1467276030. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

16986 ROBBINS RD
GRAND HAVEN, MI
ZIP 49417-795
Phone: (616) 213-0253

The provider's authorized official is Nicole Love .
The authorized official title is Owner and has the following contact phone number (231) 343-3539.

The enumeration date for this NPI number is 11/11/2024 and was last updated on 11/11/2024.

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
1363AM0700XPhysician AssistantMedicalYes

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: 3/30/2025

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