Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jacob Landreth

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1679320691

Jacob Landreth is a Student in an Organized Health Care Education/Training Program in Grand Rapids, Michigan. Works from 2 locations. Registered with an NPI since 2024.

In the registry since
2024

Practice location Address checks out

1315 Gladstone Dr SE
Grand Rapids, MI 49506-3949
Phone: (616) 890-4298
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2013 Eastcastle Dr Se Ste B, Grand Rapids, MI 49508-8873 — (616) 888-1120

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1679320691
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMay 6, 2024
Last updated in NPPESMay 6, 2024
Certification dateMay 6, 2024
Mailing address2013 Eastcastle Dr Se Ste B, Grand Rapids, MI 49508-8873

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