Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JACOB WARREN KOOISTRA DEVRIES
ActiveJACOB WARREN KOOISTRA DEVRIES is a Student (Health Education/Training) healthcare provider located in BLOOMINGTON, Indiana. NPI 1811658131 is currently active in the NPPES registry. Verify at CMS.
Student (Health Education/Training) · BLOOMINGTON, IN
Registration Details
- NPI Number
- 1811658131
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 8, 2022 (4.5648720515899 yrs)
- Last Updated
- Jan 8, 2022
Practice Information
- Address
-
701 E 17TH STBLOOMINGTON, IN, 474081578Browse IN providers · Browse ZIP 47408
- Phone
- 8128564465
- Primary Specialty
-
Student (Health Education/Training)
390200000X
Other Student (Health Education/Training) Providers in BLOOMINGTON, IN
| Name | Credential | NPI |
|---|---|---|
| STEPHEN L WRIGHT | M.A. | 1710170501 |
| QUENTIN L. SPEIGHT | M.A. | 1518245273 |
| JACKIE CARBERY | B.S. | 1093069163 |
| WILLIAM MEANS | — | 1285061622 |
| TYLER DANIEL REEMS | — | 1598154825 |
| ERIC CHRISTOPHER LYNCH | — | 1043682578 |
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.