Doctor Name: | JENIFER NOEL SLEIGHT |
NPI Number: | 1144632761 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | D.N.P. |
License Number: | 4704259692 |
Business Practice Address: | 1576 W Bluewater Hwy Ionia, MI - 488468594 |
Business Phone Number: | 6165276331 |
Business Fax Number: | |
Mailing Address: | 15615 S Airport Rd, LANSING |
State: | MI |
Postal Code: | 489069115 |
Phone Number: | 5179278826 |
Fax Number: | |
NPI Enumeration Date: | 06/02/2014 |
NPI Last Update Date: | 06/02/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 4704259692 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MI |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |