Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JESSE RYAN RODER
ActiveJESSE RYAN RODER is a Community Health Worker healthcare provider located in FULTON, Michigan. NPI 1376374017 is currently active in the NPPES registry. Verify at CMS.
Community Health Worker · FULTON, MI
Registration Details
- NPI Number
- 1376374017
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 13, 2024 (2.0079958757698 yrs)
- Last Updated
- Aug 13, 2024
Practice Information
- Address
-
1474 MNO-BMADZEWEN WAYFULTON, MI, 49052Browse MI providers · Browse ZIP 49052
- Phone
- 2694060599
- Primary Specialty
-
Community Health Worker
172V00000X
Other Community Health Worker Providers in FULTON, MI
| Name | Credential | NPI |
|---|---|---|
| MRS. KYLIE MOORE | — | 1639669336 |
| KATHERINE HENLEY | — | 1356112874 |
| SHELBY BRUECK | — | 1184514655 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.