Individual provider · Type 1 NPI

Courtney Marie Jack, RN

Registered Nurse · Rockford, MI

NPI number 1508602889 Active

Practice location

10648 Grange Ave NE
Rockford, MI 49341-9131

Specialties and licenses

Taxonomy	Code	License
Registered Nurse Primary	163W00000X	4704418051 (MI)

Registered Nurse: (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient…

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About NPI 1508602889

Courtney Marie Jack, RN's National Provider Identifier is 1508602889, issued on Jul 5, 2024. The primary taxonomy on file is Registered Nurse (163W00000X), and the practice location is in Rockford, MI. The record was last updated on Jul 5, 2024.