Mr. Jack A Kooienga
Nurse Practitioner - Acute Care Nurse Practitioner - Critical Care Medicine
5900 Byron Center Ave Sw
Wyoming
, Michigan 49519-9606
Mr. Jack A Kooienga
Nurse Practitioner - Acute Care Nurse Practitioner - Critical Care Medicine
5900 Byron Center Ave Sw
Wyoming
, Michigan 49519-9606
(616) 252-0103
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About
Features
Specialties
- Nurse Practitioner - Acute Care
- Nurse Practitioner - Critical Care Medicine
Languages spoken
- English
Location
First Address
- Mr. Jack A Kooienga
- 985 Gezon Pkwy Sw
- Wyoming, MI
- Zip : 49509-9563
- Fax : (616) 252-0103
- Phone : (616) 252-4655
Second Address
- Mr. Jack A Kooienga
- 5900 Byron Center Ave Sw
- Wyoming, MI
- Zip : 49519-9606
- Fax : (616) 252-7830
- Phone : (616) 252-7200
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FAQs
Where did Mr. Jack A Kooienga attend graduate school?
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Where did Mr. Jack A Kooienga do his fellowship?
Is Mr. Jack A Kooienga board certified?
What type of doctor is Mr. Jack A Kooienga
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Where is Mr. Jack A Kooienga ’s practice located?
What is Mr. Jack A Kooienga ’s gender?
Is Mr. Jack A Kooienga a sole practitioner?
Is Mr. Jack A Kooienga accepting new patients?
What languages does Mr. Jack A Kooienga speak?
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Does Mr. Jack A Kooienga offers telemedicine?
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Does Mr. Jack A Kooienga have any license restrictions?
Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LA2100X | Nurse Practitioner - Acute Care | APRN11012762 | FL |
| N | 363LC0200X | Nurse Practitioner - Critical Care Medicine | 4704218318 | MI |
National Provider Identifier
| NPI | 1518216308 |
|---|---|
| Provider Name | Mr. Jack A Kooienga |
| First Address | Wyoming, MI 49509-9563 |
| Second Address | Wyoming, MI 49519-9606 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 07/09/2012 |
| Last Update Date | 09/08/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 110773300 | (05) | FL |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.