Individual provider · Type 1 NPI
Jennifer Kingsbury, PA-C
Medical Physician Assistant · Dewitt, MI
NPI number
1255677738
Active
Practice location
13105 Schavey Rd, #4
Dewitt, MI 48820-9037
Mailing address
1701 Lake Lansing Rd, Suite 100
Lansing, MI 48912-3798
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | 5601003220 (MI) |
Medical Physician Assistant: Definition to come...
4 other providers at this address
About NPI 1255677738
Jennifer Kingsbury, PA-C's National Provider Identifier is 1255677738, issued on Jan 2, 2013. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Dewitt, MI. The record was last updated on Jan 2, 2013.