Individual provider · Type 1 NPI
Jordan Wyeth
Nurse Practitioner · Charlevoix, MI
Practice location
220 W Garfield Ave
Charlevoix, MI 49720-1631
Mailing address
3816 Lorraine Dr
Petoskey, MI 49770-8640
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner Primary | 363L00000X | 4704305091 (MI) |
Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…
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About NPI 1598348153
Jordan Wyeth's National Provider Identifier is 1598348153, issued on May 3, 2021. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Charlevoix, MI. The record was last updated on May 3, 2021.