Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JEFFREY VANDERBILT
ActiveJEFFREY VANDERBILT is a Nurse Practitioner healthcare provider located in WHITE PIGEON, Michigan. NPI 1568542082 is currently active in the NPPES registry. Verify at CMS.
Nurse Practitioner · WHITE PIGEON, MI
Registration Details
- NPI Number
- 1568542082
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 17, 2006 (19.820978935259 yrs)
- Last Updated
- Jun 11, 2009
- Licenses
-
4704211765 (MI)4704211765 (MI)
Practice Information
- Address
-
69011 WILDWOOD DRWHITE PIGEON, MI, 490997727Browse MI providers · Browse ZIP 49099
- Phone
- 2694839991
- Primary Specialty
-
Nurse Practitioner
363L00000X
- Additional Specialty
- Emergency Medicine
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.