Individual provider · Type 1 NPI

Caitlyn N. Jetter, PA-C

Physician Assistant · Spring Lake, MI

NPI number 1053924977 Active

Practice location

17325 Van Wagoner Rd
Spring Lake, MI 49456-9702

Fax (616) 827-4700

Mailing address

300 68th St SE
Grand Rapids, MI 49548-6927

Other practice locations

  • 300 68th St SE, Grand Rapids, MI 49548-6927 · (616) 455-5000
  • 1545 68th St SE Ste 200, Grand Rapids, MI 49508-7896 · (616) 447-5820

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X5601010172 (MI)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1053924977

Caitlyn N. Jetter, PA-C's National Provider Identifier is 1053924977, issued on Aug 29, 2020. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Spring Lake, MI. The record was last updated on Oct 20, 2026.