Individual provider · Type 1 NPI
Jennifer Lynn Vander Bos
Licensed Practical Nurse · Grand Rapids, MI
NPI number
1336646553
Active
Practice location
927 Innes St NE
Grand Rapids, MI 49503
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Licensed Practical Nurse Primary | 164W00000X | 8120118 (MI) |
Licensed Practical Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
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About NPI 1336646553
Jennifer Lynn Vander Bos's National Provider Identifier is 1336646553, issued on Apr 13, 2018. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Grand Rapids, MI. The record was last updated on Apr 13, 2018.