Individual provider · Type 1 NPI

Kennedy Deslyn Koebbe, FNP-C

Family Nurse Practitioner · Jackson, MI

NPI number 1790679819 Active

Practice location

214 N West Ave
Jackson, MI 49201-1903

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X4704371010 (MI)

Family Nurse Practitioner: Definition to come...

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About NPI 1790679819

Kennedy Deslyn Koebbe, FNP-C's National Provider Identifier is 1790679819, issued on Jun 4, 2025. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Jackson, MI. The record was last updated on Jun 4, 2025.