Individual provider · NPI-1

Jayme Boros, NP

Nurse Practitioner, Pediatrics · Grand Rapids, MI

NPI number1265940977
StatusActive
Last updated in NPPESMay 21, 2025

Details

NPI
1265940977
Entity type
Individual (NPI-1)
Name
Jayme Boros
Credential
NP
Sex
Female
Sole proprietor
No
Enumeration date
Jan 16, 2018
Certification date
May 21, 2025
Last updated
May 21, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LP0200X Nurse Practitioner, Pediatrics4704297108MIYes
363LA2100X Nurse Practitioner, Acute Care4704297108MI

Practice location

25 Michigan St Ne Ste 4200
Grand Rapids, MI 49503-2559

Phone 616-267-9150

Mailing address

100 Michigan St Ne # Mc845
Grand Rapids, MI 49503-2560

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