Mr. Jack A Kooienga, APRN
Mr. Jack A Kooienga, APRN is a Nurse Practitioner in Wyoming, Michigan. Qualified in 2003, 23 years ago. Practices with Intensive Care Consortium Inc, a 483-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Florida and Michigan.
- Years since qualifying
- 23
- Licensed in
- FL, MI
- In the registry since
- 2012
- Specialties on file
- 2
What do these letters mean?
- APRN — Advanced Practice Registered Nurse
- The umbrella licence covering nurse practitioners, midwives, anaesthetists and clinical nurse specialists.
Practice location Address checks out
5900 Byron Center Ave SWWyoming, MI 49519-9606
Phone: (616) 252-7200
Fax: (616) 252-7830
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Additional practice locations (1)
- 601 E Rollins St, Orlando, FL 32803-1248 — (407) 303-7283
Specialties & licences
| Acute Care Nurse Practitioner (primary) | Taxonomy 363LA2100X · Licence APRN11012762 (FL) |
|---|---|
| Critical Care Medicine Nurse Practitioner | Taxonomy 363LC0200X · Licence 4704218318 (MI) |
Record details
| NPI number | 1518216308 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | APRN |
| Sole proprietor | No |
| NPI enumerated | September 7, 2012 |
| Last updated in NPPES | August 9, 2021 |
| Certification date | August 9, 2021 |
Medicare enrollment
| Medicare specialty | NURSE PRACTITIONER |
|---|---|
| Medical school | OTHER |
| Graduated | 2003 (23 years in practice) |
| Group practice | Intensive Care Consortium Inc — 483 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 4 on file with Medicare |