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

Prof. Jennifer Smith, NCPT

Individual provider Phlebotomy Technician · NPI 1114761228

Prof. Jennifer Smith, NCPT is a Phlebotomy Technician in Grand Rapids, Michigan. Practices as a sole proprietor. Licensed in Michigan.

Licensed in
MI
In the registry since
2024

Practice location Address checks out

625 Kenmoor Ave SE Ste 350 Pmb 392566
Grand Rapids, MI 49546-2395
Phone: (817) 986-3605
Show map & directions

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

Specialties & licences

Phlebotomy Technician (primary) Taxonomy 246RP1900X · Licence NPCN16880-4994 (MI)

Record details

NPI number1114761228
Entity typeIndividual (Type 1)
GenderFemale
Credentials NCPT
Sole proprietorYes
NPI enumeratedJune 24, 2024
Last updated in NPPESJune 24, 2024
Certification dateJune 23, 2024
Mailing address625 Kenmoor Ave Se Ste 350, Pmb 392566, Grand Rapids, MI 49546-2395

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