Individual provider · Type 1 NPI

Jennifer Lynn Nobert, PA-C

Physician Assistant · Kentwood, MI

NPI number 1689820169 Active

Practice location

4600 Breton Rd SE Ste 208
Kentwood, MI 49508-5220

Fax (616) 267-0021

Mailing address

100 Michigan St NE # MC845
Grand Rapids, MI 49503-2560

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X5601005301 (MI)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1689820169

Jennifer Lynn Nobert, PA-C's National Provider Identifier is 1689820169, issued on Aug 15, 2008. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Kentwood, MI. The record was last updated on Aug 27, 2026.