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NPI Code Detail

MEDICARE: JAMIE ALBERT NP

MEDICARE: JAMIE ALBERT 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
1363L00000XNurse Practitioner4704285023MI

General Provider Information

NPI Number : 1629516661
Entity Type Code : Individual
Provider Name (Legal Business Name) : JAMIE ALBERT NP
Provider Business Mailing Address
First Line : 100 MICHIGAN ST NE
Second Line : MC 845
City : GRAND RAPIDS
State : MI
Zip : 49503-2560
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 145 MICHIGAN ST NE STE 2200
Second Line :
City : GRAND RAPIDS
State : MI
Zip : 49503-2562
Country : US
Telephone Number : 616-486-5933
Fax Number : 616-486-6489
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/10/2017
Last Update Date : 03/12/2026

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