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

Rebecca Jo Nielsen, NP

Individual provider Nurse Practitioner · NPI 1912515586

Rebecca Jo Nielsen, NP is a Nurse Practitioner in Grand Rapids, Michigan. Works from 2 locations. Licensed in Michigan.

Licensed in
MI
In the registry since
2020
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

770 Kenmoor Ave SE Ste 100
Grand Rapids, MI 49546-8602
Phone: (616) 272-3533
Fax: (616) 259-4839
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1000 Burr Ridge Pkwy Ste 201, Burr Ridge, IL 60527-0864 — (248) 824-6600

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 4704322661 (MI)

Record details

NPI number1912515586
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorNo
NPI enumeratedJuly 20, 2020
Last updated in NPPESSeptember 30, 2024
Certification dateSeptember 30, 2024

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