Individual provider · Type 1 NPI

Patti Jo Peck, NP

Adult Health Nurse Practitioner · Grand Rapids, MI

NPI number 1063473544 Active

Practice location

200 Jefferson SE
Grand Rapids, MI 49503

Fax (616) 685-3084

Mailing address

245 State St SE, Ste 221
Grand Rapids, MI 49503

Specialties and licenses

TaxonomyCodeLicense
Neonatal Nurse Practitioner 363LN0000X1494303 (MI)
Adult Health Nurse Practitioner Primary 363LA2200X4704151401 (MI)

Adult Health Nurse Practitioner: Definition to come...

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About NPI 1063473544

Patti Jo Peck, NP's National Provider Identifier is 1063473544, issued on Mar 31, 2006. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Grand Rapids, MI. The record was last updated on Jul 16, 2009.