Individual provider · Type 1 NPI

Jessica Vandenberg

Specialist · Grand Rapids, MI

NPI number 1184168312 Active

Practice location

5060 Cascade Rd SE Ste A
Grand Rapids, MI 49546-3808

Call (616) 954-0950 Map

Mailing address

2051 Griggs St SE
Grand Rapids, MI 49506-4608

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XNone listed

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1184168312

Jessica Vandenberg's National Provider Identifier is 1184168312, issued on Dec 7, 2016. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Grand Rapids, MI. The record was last updated on Dec 7, 2016.