Individual provider · Type 1 NPI
Jessica Starr Grevenstuk, NP
Gerontology Nurse Practitioner · Dearborn, MI
NPI number
1588098685
Active
Practice location
3200 Greenfield Rd Ste 300
Dearborn, MI 48120-1805
Fax (574) 546-1999
Mailing address
3235 N Wellness Dr Ste 120B
Holland, MI 49424-8035
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Gerontology Nurse Practitioner Primary | 363LG0600X | 4704257219 (MI) |
Gerontology Nurse Practitioner: Definition to come...
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Other gerontology nurse practitioner providers in Dearborn
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- Krystal Searles, AGNPGerontology Nurse Practitioner Dearborn, MI NPI 1861052490
About NPI 1588098685
Jessica Starr Grevenstuk, NP's National Provider Identifier is 1588098685, issued on Aug 26, 2013. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Dearborn, MI. The record was last updated on Mar 12, 2025.