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

Courtney Marie Jack, RN

Individual provider Registered Nurse · NPI 1508602889

Courtney Marie Jack, RN is a Registered Nurse in Rockford, Michigan. Licensed in Michigan. Registered with an NPI since 2024.

Licensed in
MI
In the registry since
2024
What do these letters mean?
RN — Registered Nurse
A licensed nurse who completed a nursing degree and passed the NCLEX-RN examination.

See every abbreviation used in this directory →

Practice location Address checks out

10648 Grange Ave NE
Rockford, MI 49341-9131
Phone: (616) 334-8124
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Nurse (primary) Taxonomy 163W00000X · Licence 4704418051 (MI)

Record details

NPI number1508602889
Entity typeIndividual (Type 1)
GenderFemale
Credentials RN
Sole proprietorNo
NPI enumeratedJuly 5, 2024
Last updated in NPPESJuly 5, 2024
Certification dateJuly 5, 2024

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