Individual provider · Type 1 NPI

Jennifer Elizabeth Mellema, CNP

Gerontology Nurse Practitioner · Fremont, MI

NPI number 1902668635 Active

Practice location

212 S Sullivan Ave
Fremont, MI 49412-1548

Mailing address

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

Specialties and licenses

TaxonomyCodeLicense
Gerontology Nurse Practitioner Primary 363LG0600X4704246219 (MI)

Gerontology Nurse Practitioner: Definition to come...

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About NPI 1902668635

Jennifer Elizabeth Mellema, CNP's National Provider Identifier is 1902668635, issued on Jan 29, 2024. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Fremont, MI. The record was last updated on Sep 9, 2024.