Individual provider · Type 1 NPI

Jayne Deur Pettinga, NURSE PRACTITIONER

Family Nurse Practitioner · Grand Rapids, MI

NPI number 1124280219 Active

About NPI 1124280219

Jayne Deur Pettinga, NURSE PRACTITIONER's National Provider Identifier is 1124280219, issued on Jun 30, 2008. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Grand Rapids, MI. The record was last updated on Jun 30, 2008.