JENNIFER LYNN VANDER BOS
NPI 1336646553
Licensed Practical Nurse in Grand Rapids, MI

Q: What is Jennifer Vander Bos's NPI number?

The NPI number for Jennifer Vander Bos is 1336646553. It was assigned to this individual provider in the NPPES registry on April 13, 2018.

Q: What is Jennifer Vander Bos's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

Active since April 13, 2018

927 INNES ST NE, GRAND RAPIDS, MI 49503(231) 629-1445 Get Directions Write a Review

NPPES record last updated: April 13, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Jennifer Lynn Vander Bos NPPES

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

JENNIFER LYNN VANDER BOS (NPI 1336646553) is an individual licensed practical nurse in Grand Rapids, Michigan, licensed in Michigan (8120118) and active in the NPI registry since April 2018.

NPPES Registry Identity

NPI1336646553

Entity TypeIndividualFemale

Primary Taxonomy164W00000X

Provider Legal NameJENNIFER LYNN VANDER BOS

Location Address927 INNES ST NEGrand Rapids, MI 49503

Mailing Address927 Innes St NeGrand Rapids, MI 49503-3519

Phone(231) 629-1445

Sole ProprietorYes

Enumeration DateApril 13, 2018

✔ NPI 1336646553 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers

Taxonomy Code164W00000X

License✔ Licensed in MI · 8120118

Definition

A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

927 INNES ST NE, Grand Rapids, MI 49503

Open in Google Maps ↗

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 Jennifer Vander Bos's NPI number?

The NPI number for Jennifer Vander Bos is 1336646553. It was assigned to this individual provider in the NPPES registry on April 13, 2018.

Where is Jennifer Vander Bos located?

Jennifer Vander Bos practices at 927 Innes St NE, Grand Rapids, MI 49503. The listed phone number is (231) 629-1445.

What is Jennifer Vander Bos's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Jennifer Vander Bos was last updated on April 13, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.