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

MS. Jayne Deur Pettinga, NURSEPRACTITIONER

Individual provider Family Nurse Practitioner · NPI 1124280219

MS. Jayne Deur Pettinga, NURSEPRACTITIONER is a Family Nurse Practitioner in Grand Rapids, Michigan. Practices as a sole proprietor. Licensed in Michigan.

Licensed in
MI
In the registry since
2008

Practice location Address checks out

3200 Knight Way SE Calvin College Health Services
Grand Rapids, MI 49546-4407
Phone: (616) 526-6187
Fax: (616) 526-6548
Show map & directions

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

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 4704119236 (MI)

Record details

NPI number1124280219
Entity typeIndividual (Type 1)
GenderFemale
Credentials NURSEPRACTITIONER
Sole proprietorYes
NPI enumeratedJune 30, 2008
Last updated in NPPESJune 30, 2008

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