Lori Jean Hesselink, RN

Individual provider Active NPI Psychiatric/Mental Health Registered Nurse · Marion, MI

NPI 1053651968 · NPPES record last updated Mar 1, 2013

Key facts

NPI
1053651968
Entity type
Individual (NPI type 1)
Primary specialty
Psychiatric/Mental Health Registered Nurse 163WP0808X
License
4704125008 (MI)
Practice address
23563 100TH Ave
Marion, MI 49665-8118
Phone
(231) 775-3463
Fax
(231) 775-1692
NPI assigned
Mar 1, 2013
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
4704125008MIMDPsychiatric/Mental Health Registered Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Registered Nurse 163WP0808X 4704125008 MI Yes

Addresses

Primary practice location

23563 100TH Ave
Marion, MI 49665-8118

Mailing address

23563 100TH Ave
Marion, MI 49665-8118
Phone (231) 775-3463

Other providers in Marion, MI

All providers in Marion, MI · Psychiatric/Mental Health Registered Nurse in Michigan

Sources for this page

Verify at the official NPI Registry.