JILL ANN LAFORGE AGNP - NPI 1235840505 - Nurse Practitioner in Grand Rapids, MI

Q: What is Jill Laforge's NPI number?

The NPI number for Jill Laforge is 1235840505. It was assigned to this individual provider in the NPPES registry on December 7, 2022.

Q: What is Jill Laforge's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

Q: When was this NPI record last updated?

The NPPES record for Jill Laforge was last updated on February 24, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.

On this page

About Jill Ann Laforge Agnp NPPES

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

JILL ANN LAFORGE AGNP (NPI 1235840505) is an individual gerontology provider in Grand Rapids, Michigan, licensed in Michigan (4704159260) and active in the NPI registry since December 2022.

NPPES Registry Identity

NPI1235840505

Entity TypeIndividualFemale

Primary Taxonomy363LG0600X

Provider Legal NameJILL ANN LAFORGECredential: AGNP

Location Address145 MICHIGAN ST NE STE 3410Grand Rapids, MI 49503-2563

Mailing Address100 Michigan St Ne # Mc845Grand Rapids, MI 49503-2560 · (616) 486-6790

Phone(616) 391-9945

Sole ProprietorNo

Enumeration DateDecember 7, 2022

Last NPPES UpdateFebruary 24, 20232 updates tracked since enumeration

NPPES CertifiedFebruary 24, 2023

✔ NPI 1235840505 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LG0600X

License✔ Licensed in MI · 4704159260

145 MICHIGAN ST NE STE 3410, Grand Rapids, MI 49503

Open in Google Maps ↗

Other Providers at the Same Location NPPES 20

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

KRISTIN INGER M.D.

Internal Medicine (Hospice and Palliative Medicine)