Most Relevant Information
Provider Data
| NPI Number: | 1003464397 |
| Provider Name: | JESSIE MAURER |
| Entity Type: | Individual |
| Taxonomy Code: | 163W00000X |
| Specialty: | Registered Nurse |
| License Number: | 4704301080 |
Most Important Dates
| Enumeration Date: | 08/29/2019 |
| Last Updated: | 08/29/2019 |
Provider Practice Location
1375 R DALE WERTZ DR
BAD AXE
MI
484131365
Practice Location Phone/Fax
| Phone: | 9892699293 |
| Fax: |
Provider Mailing Location
5080 RUTH RD
RUTH
MI
484709732
Provider Mailing Phone/Fax
| Phone: | 8108372031 |
| Fax: |