NPI 1265940977 · live from the CMS NPI Registry
Jayme Boros, NP
Nurse Practitioner, Pediatrics in Grand Rapids, MI. National Provider Identifier 1265940977, active.
NPI record
| NPI | 1265940977 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Nurse Practitioner, Pediatrics 363LP0200X |
| Practice location | 25 Michigan St Ne Ste 4200, Grand Rapids, MI 49503 |
| Practice phone | 616-267-9150 |
| Mailing address | 100 Michigan St Ne # Mc845, Grand Rapids, MI 49503 |
| Enumerated | January 16, 2018 |
| Last updated | May 21, 2025 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner, Acute Care | 363LA2100X | 4704297108 (MI) |
| Nurse Practitioner, Pediatrics primary | 363LP0200X | 4704297108 (MI) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.