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

Jesse Ryan Roder

Individual provider Community Health Worker · NPI 1376374017

Jesse Ryan Roder is a Community Health Worker in Fulton, Michigan. Registered with an NPI since 2024.

In the registry since
2024

Practice location Address checks out

1474 Mno-Bmadzewen Way
Fulton, MI 49052
Phone: (269) 406-0599
Show map & directions

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

Specialties & licences

Community Health Worker (primary) Taxonomy 172V00000X

Record details

NPI number1376374017
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedAugust 13, 2024
Last updated in NPPESAugust 13, 2024
Certification dateAugust 9, 2024
Mailing address1474 Mno-Bmadzewen Way, Fulton, MI 49052

Other providers in Fulton