Individual provider · Type 1 NPI
Jessica Nicole Andrina, CPNP-AC
Critical Care Pediatric Nurse Practitioner · Grand Rapids, MI
NPI number
1285115162
Active
Practice location
330 Barclay Ave NE Ste 202
Grand Rapids, MI 49503-2525
Mailing address
1668 Southpointe Trl
Otsego, MI 49078-9323
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | 4704273953 (MI) |
| Critical Care Pediatric Nurse Practitioner Primary | 363LP0222X | 4704273953 (MI) |
Critical Care Pediatric Nurse Practitioner: Definition to come...
2 other providers at this address
Other critical care pediatric nurse practitioner providers in Grand Rapids
About NPI 1285115162
Jessica Nicole Andrina, CPNP-AC's National Provider Identifier is 1285115162, issued on Aug 28, 2018. The primary taxonomy on file is Critical Care Pediatric Nurse Practitioner (363LP0222X), and the practice location is in Grand Rapids, MI. The record was last updated on Sep 24, 2018.