Jordan Bills, RN
Individual provider Active NPI Registered Nurse · Bangor, MI
NPI 1942918248 · NPPES record last updated Nov 7, 2022
Key facts
- NPI
- 1942918248
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- 4704339614 (MI)
- Practice address
- 28740 63Rd St
Bangor, MI 49013-9314 - Phone
- (989) 205-2887
- NPI assigned
- Nov 7, 2022
- Sex
- Female
- Sole proprietor
- No
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
| License | State | Type | Specialty |
|---|---|---|---|
| 4704339614 | MI | MD | Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 4704339614 | MI | Yes |
Addresses
Primary practice location
28740 63Rd St
Bangor, MI 49013-9314
Mailing address
890 N 10TH St Ste 110
Kalamazoo, MI 49009-6192
Phone (269) 370-7132
Other providers in Bangor, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 7, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.