Organization · Type 2 NPI
Jade Haven LLC
Surgical Physician Assistant · Byron Center, MI
NPI number
1669318093
Active
Practice location
7912 Whistle Creek Ct. SW
Byron Center, MI 49315-9185
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Surgical Physician Assistant Primary | 363AS0400X | None listed |
Surgical Physician Assistant: Definition to come...
About NPI 1669318093
Jade Haven LLC's National Provider Identifier is 1669318093, issued on Apr 27, 2026. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Byron Center, MI. The record was last updated on Aug 26, 2026.