NPI 1356826044 · live from the CMS NPI Registry
Kaelyn Cavender, CPNP
Nurse Practitioner, Pediatrics in Jackson, MI. National Provider Identifier 1356826044, active.
NPI record
| NPI | 1356826044 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Nurse Practitioner, Pediatrics 363LP0200X |
| Practice location | 2100 4th St, Jackson, MI 49203 |
| Practice phone | 517-787-4332 |
| Enumerated | September 27, 2018 |
| Last updated | January 28, 2022 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner, Pediatrics primary | 363LP0200X | 4704300215 (MI) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.