Individual provider · Type 1 NPI
Jenna Houghton
Pediatric Nurse Practitioner · Grand Rapids, MI
NPI number
1497205363
Active
Practice location
100 Michigan St NE
Grand Rapids, MI 49503-2560
Fax (616) 391-3845
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | 4704297240 (MI) |
| Nurse Practitioner | 363L00000X | 4704297240 (MI) |
| Pediatric Nurse Practitioner Primary | 363LP0200X | 4704297240 (MI) |
Pediatric Nurse Practitioner: Definition to come...
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About NPI 1497205363
Jenna Houghton's National Provider Identifier is 1497205363, issued on Oct 4, 2016. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Grand Rapids, MI. The record was last updated on Jun 11, 2025.