Individual provider · Type 1 NPI
Emily Alison Jandasek, DNP
Pediatric Nurse Practitioner · Grand Rapids, MI
NPI number
1093237356
Active
Practice location
100 Michigan St NE
Grand Rapids, MI 49503-2560
Mailing address
100 Michigan St NE # MC845
Grand Rapids, MI 49503-2560
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | 924868 (TX) |
| Pediatric Nurse Practitioner Primary | 363LP0200X | 4704285969 (MI) |
Pediatric Nurse Practitioner: Definition to come...
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About NPI 1093237356
Emily Alison Jandasek, DNP's National Provider Identifier is 1093237356, issued on Jul 8, 2017. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Grand Rapids, MI. The record was last updated on Feb 17, 2021.