Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. JACK A KOOIENGA, APRN
ActiveMR. JACK A KOOIENGA, APRN is a Acute Care Nurse Practitioner healthcare provider located in WYOMING, Michigan. NPI 1518216308 is currently active in the NPPES registry. Verify at CMS.
Acute Care Nurse Practitioner · WYOMING, MI
Registration Details
- NPI Number
- 1518216308
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 7, 2012 (13.746188075167 yrs)
- Last Updated
- Aug 9, 2021
- Licenses
-
4704218318 (MI)APRN11012762 (FL)
Practice Information
- Address
-
5900 BYRON CENTER AVE SWWYOMING, MI, 495199606Browse MI providers · Browse ZIP 49519
- Phone
- 6162527200
- Fax
- 6162527830
- Primary Specialty
-
Acute Care Nurse Practitioner
363LA2100X
- Additional Specialty
- Acute Care Nurse Practitioner
Other Acute Care Nurse Practitioner Providers in WYOMING, MI
| Name | Credential | NPI |
|---|---|---|
| ASHLEY GAEBEL | — | 1376058644 |
| KRISTEN JOY KELTING | — | 1114494895 |
| ELLE PORTEOUS | NP | 1861089500 |
| LAURA NAN BRAATEN | AGACNP-BC | 1588253892 |
| MARIEL ALBERTA MAITLAND | MSN, APRN, ACNPC-AG | 1891482881 |
| SAMANTHA MILANA | AGACNP | 1669164034 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.