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

Jaclyn Suzette Kournoian, NP-C

Individual provider Family Nurse Practitioner · NPI 1386970739

Jaclyn Suzette Kournoian, NP-C is a Nurse Practitioner in Mount Clemens, Michigan. Qualified in 2009, 17 years ago. Practices with Henry Ford Physician Partners, a 79-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
17
Licensed in
MI
In the registry since
2009
What do these letters mean?
NP-C — Nurse Practitioner, Certified
A nurse practitioner certified by the AANP.

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Practice location Address checks out

1000 Harrington St
Mount Clemens, MI 48043-2920
Phone: (586) 690-9062
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 4704234791 (MI)

Record details

NPI number1386970739
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP-C
Sole proprietorNo
NPI enumeratedOctober 20, 2009
Last updated in NPPESMarch 4, 2014

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Group practice Henry Ford Physician Partners — 79 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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