Individual provider · Type 1 NPI

Jahoon Koo, ACNPC-AG

Acute Care Nurse Practitioner · Stanley, WI

NPI number 1629554209 Active

Practice location

1120 Pine St
Stanley, WI 54768-1297

Mailing address

12111 W Beloit Rd Apt 6
Greenfield, WI 53228-1910

Specialties and licenses

TaxonomyCodeLicense
Acute Care Nurse Practitioner Primary 363LA2100XAPNP8026-33 (WI)

Acute Care Nurse Practitioner: Definition to come...

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About NPI 1629554209

Jahoon Koo, ACNPC-AG's National Provider Identifier is 1629554209, issued on Jul 17, 2018. The primary taxonomy on file is Acute Care Nurse Practitioner (363LA2100X), and the practice location is in Stanley, WI. The record was last updated on Dec 20, 2022.