Individual provider · Type 1 NPI

Corinna Lee Balentine, FNP-C

Family Nurse Practitioner · Grand Rapids, MI

NPI number 1164956934 Active

Practice location

770 Kenmoor Ave SE Ste 100
Grand Rapids, MI 49546-8602

Fax (616) 259-4839

Mailing address

801 Rosehill Rd
Jackson, MI 49202-1762

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X4704237275 (MI)

Family Nurse Practitioner: Definition to come...

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About NPI 1164956934

Corinna Lee Balentine, FNP-C's National Provider Identifier is 1164956934, issued on Apr 18, 2017. 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 Jan 20, 2026.