Jenifer Joy Vanwyngarden, LBSW, RN is a
Registered Nurse based in Grand Rapids, Michigan. Jenifer Joy Vanwyngarden is licensed to practice in Michigan (license number 4704394880) and her current practice location is
790 Fuller Ave Ne, Grand Rapids, Michigan. She can be reached at her office (for appointments etc.) via phone at
(616) 425-1585.
NPI number for Jenifer Joy Vanwyngarden is 1912270349 and her current mailing address is 790 Fuller Ave Ne, Grand Rapids, Michigan. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1912270349.
Healthcare Provider's Profile
Full Name | Jenifer Joy Vanwyngarden |
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Gender | Female |
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Speciality | Registered Nurse |
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Location | 790 Fuller Ave Ne, Grand Rapids, Michigan |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1912270349
- Provider Enumeration Date: 02/15/2012
- Last Update Date: 12/21/2022
Medical Identifiers
Medical identifiers for Jenifer Joy Vanwyngarden such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1912270349 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1041C0700X | Social Worker - Clinical | 6802085599 (Michigan) | Secondary |
163W00000X | Registered Nurse | 4704394880 (Michigan) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jenifer Joy Vanwyngarden is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Jenifer Joy Vanwyngarden, LBSW, RN 790 Fuller Ave Ne, Grand Rapids, MI 49503-1918 Ph: (616) 425-1585 | Jenifer Joy Vanwyngarden, LBSW, RN 790 Fuller Ave Ne, Grand Rapids, MI 49503-1918 Ph: (616) 425-1585 |
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