JACKIE A BOUWMAN RN
NPI 1679105381
Registered Nurse in Grandville, MI

Active since February 11, 2020
3097 PRAIRIE ST SW, GRANDVILLE, MI 49418(616) 531-9973 Get Directions Write a Review

NPPES record last updated: February 11, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Jackie A Bouwman Rn NPPES

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

JACKIE A BOUWMAN RN (NPI 1679105381) is an individual registered nurse in Grandville, Michigan, licensed in Michigan (4704200879) and active in the NPI registry since February 2020.

NPPES Registry Identity

NPI1679105381
Entity TypeIndividualFemale
Primary Taxonomy163W00000X
Provider Legal NameJACKIE A BOUWMANCredential: RN
Location Address3097 PRAIRIE ST SWGrandville, MI 49418-2000
Mailing Address2901 Butterworth St SwWalker, MI 49534-7042 · (616) 550-5770
Sole ProprietorYes
Enumeration DateFebruary 11, 2020
NPI 1679105381 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 · 4704200879
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.

3097 PRAIRIE ST SW, Grandville, MI 49418

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Home Health
3097 PRAIRIE ST SW
GRANDVILLE, MI 49418
Ophthalmology
3097 PRAIRIE ST SW
GRANDVILLE, MI 49418
Registered Nurse
3097 PRAIRIE ST SW
GRANDVILLE, MI 49418
Registered Nurse
3097 PRAIRIE ST SW
GRANDVILLE, MI 49418
Registered Nurse
3097 PRAIRIE ST SW
GRANDVILLE, MI 49418
Registered Nurse
3097 PRAIRIE ST SW
GRANDVILLE, MI 49418
Physical Therapist
3097 PRAIRIE ST SW
GRANDVILLE, MI 49418
Licensed Practical Nurse
3097 PRAIRIE ST SW
GRANDVILLE, MI 49418

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1679105381, enumerated as an "individual" on February 11, 2020.

The provider is located at 3097 PRAIRIE ST SW GRANDVILLE, MI 49418 and the phone number is (616) 531-9973.

Registered Nurse with taxonomy code 163W00000X.