IndividualActive
Joni Mccollum
NPI 1508552522 · Day Training/Habilitation Specialist · Fruitport, MI
Provider details
- NPI number
- 1508552522
- Entity type
- Individual
- Primary specialty
- Day Training/Habilitation SpecialistNursing Service Related Providers
- Sex
- Female
- Sole proprietor
- No
Practice location
6546 Ann Rd
Fruitport, MI 49415-9616
Phone: (231) 830-9339
Fax: (231) 737-1464
Mailing address
6546 Ann Rd
Fruitport, MI 49415-9616
Registry dates
- Enumerated
- 2023-04-13
- Last updated
- 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.