Emily Jane Addington, PA-C
Physician Assistant in Grand Rapids, MI. Individual provider (NPI-1).
NPI number1689452575
StatusActive
Last updated in NPPESJan 31, 2025
Details
- NPI
- 1689452575
- Entity type
- Individual (NPI-1)
- Name
- Emily Jane Addington
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 20, 2023
- Certification date
- Jan 31, 2025
- Last updated
- Jan 31, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | 5601011882 | MI | Yes |
Practice location
3271 Clear Vista Ct NeGrand Rapids, MI 49525-9477
Phone 616-267-7293
Mailing address
100 Michigan St Ne # Mc845Grand Rapids, MI 49503-2560
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