Courtney Marie Jack, RN

NPI #1508602889 in Rockford, Michigan

Provider Information

NPI Number: 1508602889
Entity Type: Individual
Name: Courtney Marie Jack, RN
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Registered Nurse
Credential: RN
Enumeration Date: Jul 5, 2024
Last Updated: Jul 5, 2024

Practice Location

Address: 10648 GRANGE AVE NE
City: Rockford
State: Michigan
ZIP Code: 49341-9131
Phone: (616) 334-8124

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Registered Nurse	163W00000X	Primary

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