IndividualActive
Jessamine Sutherlin
NPI 1174219083 · Day Training/Habilitation Specialist · Grandville, MI
Provider details
- NPI number
- 1174219083
- Entity type
- Individual
- Primary specialty
- Day Training/Habilitation SpecialistNursing Service Related Providers
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Nursing Service Related Providers
Practice location
4485 Heritage Ct Sw Apt 4
Grandville, MI 49418-2640
Phone: (616) 307-2977
Approximate (ZIP-level) locationGet directions
Mailing address
4485 Heritage Ct Sw Apt 4
Grandville, MI 49418-2640
Registry dates
- Enumerated
- 2023-04-13
- Last updated
- 2023-04-13
- Certified
- 2023-04-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.