Mrs. Patti Jo Peck
Nurse Practitioner - Neonatal Nurse Practitioner - Adult Health
200 Jefferson Se
Grand Rapids
, Michigan 49503
Mrs. Patti Jo Peck
Nurse Practitioner - Neonatal Nurse Practitioner - Adult Health
200 Jefferson Se
Grand Rapids
, Michigan 49503
(616) 685-1850
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About
Features
Specialties
- Nurse Practitioner - Adult Health
- Nurse Practitioner - Neonatal
Languages spoken
- English
Location
First Address
- Mrs. Patti Jo Peck
- 245 State St Se Ste 221
- Grand Rapids, MI
- Zip : 49503
- Fax : (616) 685-1850
- Phone : (616) 685-1808
Second Address
- Mrs. Patti Jo Peck
- 200 Jefferson Se
- Grand Rapids, MI
- Zip : 49503
- Fax : (616) 685-3084
- Phone : (616) 685-5000
Reviews
FAQs
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Is Mrs. Patti Jo Peck a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LA2200X | Nurse Practitioner - Adult Health | 4704151401 | MI |
| N | 363LN0000X | Nurse Practitioner - Neonatal | 1494303 | MI |
National Provider Identifier
| NPI | 1063473544 |
|---|---|
| Provider Name | Mrs. Patti Jo Peck |
| First Address | Grand Rapids, MI 49503 |
| Second Address | Grand Rapids, MI 49503 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 31/03/2006 |
| Last Update Date | 16/07/2009 |
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.