Individual provider · Type 1 NPI

Jorge Zamudio Mora, NP

Family Nurse Practitioner · Grand Rapids, MI

NPI number 1861065369 Active

Practice location

2750 E Beltline Ave NE
Grand Rapids, MI 49525-8614

Mailing address

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

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X4704310903 (MI)

Family Nurse Practitioner: Definition to come...

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About NPI 1861065369

Jorge Zamudio Mora, NP's National Provider Identifier is 1861065369, issued on Jul 21, 2021. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Grand Rapids, MI. The record was last updated on Feb 28, 2022.