COURTNEY MARIE JACK RN
NPI 1508602889
Registered Nurse in Rockford, MI

Active since July 05, 2024
10648 GRANGE AVE NE, ROCKFORD, MI 49341(616) 334-8124 Get Directions Write a Review

NPPES record last updated: July 5, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Courtney Marie Jack Rn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

COURTNEY MARIE JACK RN (NPI 1508602889) is an individual registered nurse in Rockford, Michigan, licensed in Michigan (4704418051) and active in the NPI registry since July 2024.

NPPES Registry Identity

NPI1508602889
Entity TypeIndividualFemale
Primary Taxonomy163W00000X
Provider Legal NameCOURTNEY MARIE JACKCredential: RN
Location Address10648 GRANGE AVE NERockford, MI 49341-9131
Mailing Address10648 Grange Ave NeRockford, MI 49341-9131 · (616) 334-8124
Sole ProprietorNo
Enumeration DateJuly 5, 2024
NPPES CertifiedJuly 5, 2024
NPI 1508602889 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyRegistered NurseNursing Service Providers
Taxonomy Code163W00000X
License Licensed in MI · 4704418051
Definition

(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 in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span.

10648 GRANGE AVE NE, Rockford, MI 49341

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1508602889, enumerated as an "individual" on July 05, 2024.

The provider is located at 10648 GRANGE AVE NE ROCKFORD, MI 49341 and the phone number is (616) 334-8124.

Registered Nurse with taxonomy code 163W00000X.