Mrs Sally Jo Mountz, RN - Registered Nurse in Grand Rapids, MI

Mrs Sally Jo Mountz, RN is a Registered Nurse based in Grand Rapids, Michigan. Mrs Sally Jo Mountz is licensed to practice in Michigan (license number 4704150174) and her current practice location is 1450 Leonard St Ne, Grand Rapids, Michigan. She can be reached at her office (for appointments etc.) via phone at (616) 774-8789.

NPI number for Mrs Sally Jo Mountz is 1841529716 and her current mailing address is 1450 Leonard St Ne, Grand Rapids, Michigan. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1841529716.

Contact Information

Mrs Sally Jo Mountz, RN
1450 Leonard St Ne,
Grand Rapids, MI 49505-5515
(616) 774-8789
(616) 774-2072

Map and Direction




Provider's Profile

Full NameMrs Sally Jo Mountz
GenderFemale
SpecialityRegistered Nurse
Location1450 Leonard St Ne, Grand Rapids, Michigan
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1841529716
  • Provider Enumeration Date: 12/23/2009
  • Last Update Date: 12/23/2009

Medical Identifiers

Medical identifiers for Mrs Sally Jo Mountz such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1841529716NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163W00000XRegistered Nurse 4704150174 (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. Mrs Sally Jo Mountz 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 AddressPractice Location Address
Mrs Sally Jo Mountz, RN
1450 Leonard St Ne,
Grand Rapids, MI 49505-5515

Ph: (616) 774-8789
Mrs Sally Jo Mountz, RN
1450 Leonard St Ne,
Grand Rapids, MI 49505-5515

Ph: (616) 774-8789

Reviews and Comments


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