NPI 1164776423

Laurel Patricia Jessup, CNM

Practitioner Advanced Practice Midwife Grand Rapids, MI

Practice location

Address: 100 Michigan St NE # Mc027, Grand Rapids, MI 49503-2560
Phone: (616) 391-2160
Mailing address: 100 Michigan St NE # Mc845, Grand Rapids, MI 49503-2560

Registered specialties

Advanced Practice Midwife Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 367A00000X Licence 4704350423 (MI)

Other Advanced Practice Midwife providers in Michigan →

Registry record

NPI: 1164776423
Entity type: Individual
Sex (as registered): Female
NPI issued: 7 Nov 2012
Record last updated: 17 Feb 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.