Andrina, Jessica Nicole

Andrina, Jessica Nicole is an individual health care provider with primary practice located at 330 Barclay Ave Ne Ste 202 , Grand Rapids MI 49503-2525. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, Critical Care. Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, Critical Care is her primary health care specialty. Andrina, Jessica Nicole can be contacted via phone (616) 458-1722.

Contact Information

Primary practice address
330 Barclay Ave Ne Ste 202 Grand Rapids MI 49503-2525
Phone: (616) 458-1722
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 4704273953 Michigan
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, Critical Care 363LP0222X 4704273953 Michigan

Profile Details

NPI number 1285115162
LBN Legal business name Andrina, Jessica Nicole
Credentials CPNP-AC
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 28th, 2018
Last updated Sep 24th, 2018 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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