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MS. JAYNE DEUR PETTINGA NURSE PRACTITIONER
NPI 1124280219
Nurse Practitioner - Family in Grand Rapids, MI

Active since June 30, 2008
3200 KNIGHT WAY SE, CALVIN COLLEGE HEALTH SERVICES, GRAND RAPIDS, MI 49546(616) 526-6187(616) 526-6548 Get Directions Write a Review

NPPES record last updated: June 30, 2008. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Ms. Jayne Deur Pettinga Nurse Practitioner NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. JAYNE DEUR PETTINGA NURSE PRACTITIONER (NPI 1124280219) is an individual family provider in Grand Rapids, Michigan, licensed in Michigan (4704119236) and active in the NPI registry since June 2008.

NPPES Registry Identity

NPI1124280219
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMS. JAYNE DEUR PETTINGACredential: NURSE PRACTITIONER
Location Address3200 KNIGHT WAY SE, CALVIN COLLEGE HEALTH SERVICESGrand Rapids, MI 49546-4407
Mailing Address3200 Knight Way Se, Calvin College Health ServicesGrand Rapids, MI 49546-4407 · (616) 526-6187 · Fax (616) 526-6548
Phone(616) 526-6187
Fax(616) 526-6548
Sole ProprietorYes
Enumeration DateJune 30, 2008
✔ NPI 1124280219 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in MI · 4704119236
3200 KNIGHT WAY SE, Grand Rapids, MI 49546
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Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. GAY R. KAASHOEK F.N.P.
Nurse Practitioner (Family)
3200 KNIGHT WAY SE
GRAND RAPIDS, MI 49546
Kent County (616) 526-6187

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jayne Pettinga's NPI number?

The NPI number for Jayne Pettinga is 1124280219. It was assigned to this individual provider in the NPPES registry on June 30, 2008.

Where is Jayne Pettinga located?

Jayne Pettinga practices at 3200 Knight Way SE Calvin College Health Services, Grand Rapids, MI 49546. The listed phone number is (616) 526-6187.

What is Jayne Pettinga's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Jayne Pettinga was last updated on June 30, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.