Jamie Nestle

Individual provider Active NPI Licensed Practical Nurse · Bark River, MI

NPI 1124901715 · NPPES record last updated Jul 30, 2025

Key facts

NPI
1124901715
Entity type
Individual (NPI type 1)
Primary specialty
Licensed Practical Nurse 164W00000X
License
4703122472 (MI)
Practice address
W896 County Road 400
Bark River, MI 49807-9430
Phone
(906) 368-0252
NPI assigned
Jul 30, 2025
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

State licenses

LicenseStateTypeSpecialty
4703122472MIMDLicensed Practical Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse
Group: 193200000X MULTI-SPECIALTY GROUP
164W00000X 4703122472 MI Yes

Addresses

Primary practice location

W896 County Road 400
Bark River, MI 49807-9430

Mailing address

W896 County Road 400
Bark River, MI 49807-9430
Phone (906) 368-0252

Other providers in Bark River, MI

All providers in Bark River, MI · Licensed Practical Nurse in Michigan

Sources for this page

Verify at the official NPI Registry.