Jon Russell Krueger
Nurse Practitioner - Psychiatric/Mental Health
420 W 5th Ave
Flint
, Michigan 48503-2445
Jon Russell Krueger
Nurse Practitioner - Psychiatric/Mental Health
420 W 5th Ave
Flint
, Michigan 48503-2445
(989) 723-1205
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About
Features
Specialties
- Nurse Practitioner - Psychiatric/Mental Health
Languages spoken
- English
Location
First Address
- Jon Russell Krueger
- 420 W 5th Ave
- Flint, MI
- Zip : 48503-2445
- Fax : (989) 723-1205
- Phone : (810) 257-3736
Second Address
- Jon Russell Krueger
- 420 W 5th Ave
- Flint, MI
- Zip : 48503-2445
- Fax : (989) 723-1205
- Phone : (810) 257-3736
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LP0808X | Nurse Practitioner - Psychiatric/Mental Health | 4704205426 | MI |
National Provider Identifier
| NPI | 1033473749 |
|---|---|
| Provider Name | Jon Russell Krueger |
| First Address | Flint, MI 48503-2445 |
| Second Address | Flint, MI 48503-2445 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 27/06/2012 |
| Last Update Date | 17/03/2018 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.