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NPI Code Detail

MEDICARE: KRISTEN SORROW NP

MEDICARE: KRISTEN SORROW NP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse Practitioner4704216622MI
2363L00000XNurse Practitioner4704216622MI
3363L00000XNurse PractitionerAPN11969TN

General Provider Information

NPI Number : 1316058357
Entity Type Code : Individual
Provider Name (Legal Business Name) : KRISTEN SORROW NP
Provider Business Mailing Address
First Line : 1100 E MICHIGAN AVE STE 307
Second Line :
City : JACKSON
State : MI
Zip : 49201-1850
Country : US
Telephone Number : 517-205-1594
Fax Number : 517-205-1540
Provider Business Practice Location Address
First Line : 1100 E MICHIGAN AVE STE 307
Second Line :
City : JACKSON
State : MI
Zip : 49201-1850
Country : US
Telephone Number : 517-205-1594
Fax Number : 517-205-1540
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/31/2006
Last Update Date : 10/01/2025

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Directions to “ KRISTEN SORROW NP” Practice Location

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