Provider Demographics
NPI:1245587021
Name:VANGESSEL, JESSICA MEYERHOFF (FNP-C)
Entity Type:Individual
Prefix:
First Name:JESSICA
Middle Name:MEYERHOFF
Last Name:VANGESSEL
Suffix:
Gender:F
Credentials:FNP-C
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Mailing Address - Street 1:8650 BYRON CENTER AVE SW STE 12
Mailing Address - Street 2:
Mailing Address - City:BYRON CENTER
Mailing Address - State:MI
Mailing Address - Zip Code:49315-9589
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:8650 BYRON CENTER AVE SW STE 12
Practice Address - Street 2:
Practice Address - City:BYRON CENTER
Practice Address - State:MI
Practice Address - Zip Code:49315-9589
Practice Address - Country:US
Practice Address - Phone:616-389-0913
Practice Address - Fax:940-340-3615
Is Sole Proprietor?:No
Enumeration Date:2012-08-10
Last Update Date:2022-07-26
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MI4704270177363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily