Individual provider · Type 1 NPI

Jill Ann Laforge, AGNP

Gerontology Nurse Practitioner · Grand Rapids, MI

NPI number 1235840505 Active

Practice location

145 Michigan St NE Ste 3410
Grand Rapids, MI 49503-2563

Mailing address

100 Michigan St NE # MC845
Grand Rapids, MI 49503-2560

Specialties and licenses

TaxonomyCodeLicense
Gerontology Nurse Practitioner Primary 363LG0600X4704159260 (MI)

Gerontology Nurse Practitioner: Definition to come...

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About NPI 1235840505

Jill Ann Laforge, AGNP's National Provider Identifier is 1235840505, issued on Dec 7, 2022. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Grand Rapids, MI. The record was last updated on Feb 24, 2023.