Individual provider · Type 1 NPI
Heather Jill Mol, PMHNP-BC
Psychiatric/Mental Health Nurse Practitioner · Grand Rapids, MI
NPI number
1891125159
Active
Practice location
200 Jefferson Ave SE
Grand Rapids, MI 49503-4502
Fax (616) 222-3766
Mailing address
1900 44th St SE
Kentwood, MI 49508-5008
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 4704227672 (MI) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1891125159
Heather Jill Mol, PMHNP-BC's National Provider Identifier is 1891125159, issued on Nov 22, 2013. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Grand Rapids, MI. The record was last updated on Jan 23, 2018.