| Mrs Jackie Lea Maiville, LPN | |
|
1853 R W Berends Dr Sw, Wyoming, MI 49519 | |
| (616) 534-9300 | |
| Not Available |
| Full Name | Mrs Jackie Lea Maiville |
|---|---|
| Gender | Female |
| Speciality | Licensed Practical Nurse |
| Location | 1853 R W Berends Dr Sw, Wyoming, Michigan |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265925390 | NPI | - | NPPES |
| 4703029307 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 164W00000X | Licensed Practical Nurse | 4703029307 (Michigan) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Jackie Lea Maiville, LPN 1853 R. W. Berends Dr Sw, Wyoming, MI 49519-4955 Ph: (616) 534-9300 | Mrs Jackie Lea Maiville, LPN 1853 R W Berends Dr Sw, Wyoming, MI 49519 Ph: (616) 534-9300 |
Margaret Stewart, Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 145 Murray St Sw, Wyoming, MI 49548 Phone: 616-264-4152 | |
Barnabus Corder, Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 1853 R W Berends Dr Sw, Wyoming, MI 49519 Phone: 616-534-9300 | |
Jillian Berzley, Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 2724 Edmonton St Sw, Wyoming, MI 49519 Phone: 616-204-5272 | |
Kathleen Kubacki, Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 1853 R W Berends Dr Sw, Wyoming, MI 49519 Phone: 616-534-9300 | |
Lun Mang, LPN Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 1853 R W Berends Dr Sw, Wyoming, MI 49519 Phone: 616-534-9300 | |
Tatyana S Chatman, Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 1853 R W Berends Dr Sw, Wyoming, MI 49519 Phone: 616-534-9300 | |
Lisa Frede, Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 1853 R W Berends Dr Sw, Wyoming, MI 49519 Phone: 616-534-9300 |