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

Jenifer Joy Vanwyngarden, LBSW, RN, DNP

Individual provider Registered Nurse · NPI 1912270349

Jenifer Joy Vanwyngarden, LBSW, RN, DNP is a Nurse Practitioner in Grand Rapids, Michigan. Qualified in 2025, 1 year ago. Practices with Kent County Cmh Authority, a 59-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
1
Licensed in
MI
In the registry since
2012
Specialties on file
3
What do these letters mean?
RN — Registered Nurse
A licensed nurse who completed a nursing degree and passed the NCLEX-RN examination.
DNP — Doctor of Nursing Practice
The highest clinical degree in nursing.

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Practice location Address checks out

1131 Ionia Ave NW
Grand Rapids, MI 49503-1020
Phone: (616) 425-1585
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 4704394880 (MI)
Registered Nurse Taxonomy 163W00000X · Licence 4704394880 (MI)
Clinical Social Worker Taxonomy 1041C0700X · Licence 6802085599 (MI)

Record details

NPI number1912270349
Entity typeIndividual (Type 1)
GenderFemale
Credentials LBSW , RN , DNP
Sole proprietorNo
NPI enumeratedFebruary 15, 2012
Last updated in NPPESFebruary 27, 2026
Certification dateFebruary 27, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Kent County Cmh Authority — 59 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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