Individual provider · Type 1 NPI
Kelly Jo Lubbers, DNP, CPNP
Pediatric Nurse Practitioner · Grandville, MI
NPI number
1063188647
Active
Practice location
2845 44th St SW Ste 200
Grandville, MI 49418-2678
Mailing address
5553 Stevendale Dr
Hudsonville, MI 49426-8499
Other practice locations
- 5553 Stevendale Dr, Hudsonville, MI 49426-8499 · (616) 540-6516
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Nurse Practitioner Primary | 363LP0200X | 212110859-3 (MI) |
Pediatric Nurse Practitioner: Definition to come...
Another provider at this address
Other pediatric nurse practitioner providers in Grandville
About NPI 1063188647
Kelly Jo Lubbers, DNP, CPNP's National Provider Identifier is 1063188647, issued on Aug 23, 2021. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Grandville, MI. The record was last updated on Jul 26, 2022.