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MISS KENNEDY DESLYN KOEBBE FNP-C
NPI 1790679819
Nurse Practitioner - Family in Jackson, MI

Active since June 04, 2025
214 N WEST AVE, JACKSON, MI 49201(517) 784-9189 Get Directions Write a Review

NPPES record last updated: June 4, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Miss Kennedy Deslyn Koebbe Fnp-c NPPES

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

MISS KENNEDY DESLYN KOEBBE FNP-C (NPI 1790679819) is an individual family provider in Jackson, Michigan, licensed in Michigan (4704371010) and active in the NPI registry since June 2025.

NPPES Registry Identity

NPI1790679819
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMISS KENNEDY DESLYN KOEBBECredential: FNP-C
Location Address214 N WEST AVEJackson, MI 49201-1903
Mailing Address214 N West AveJackson, MI 49201-1903 · (517) 784-9189
Phone(517) 784-9189
Sole ProprietorNo
Enumeration DateJune 4, 2025
NPPES CertifiedJune 4, 2025
✔ NPI 1790679819 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in MI · 4704371010
214 N WEST AVE, Jackson, MI 49201
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Other Providers at the Same Location NPPES 13

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

MATT T ROSENBERG PC
Family Medicine
214 N WEST AVE
JACKSON, MI 49201
Jackson County (517) 784-9189
LEZLIE MALSON F.N.P.-C.
Nurse Practitioner (Family)
214 N WEST AVE
JACKSON, MI 49201
Jackson County (517) 784-9189
JASMINE RANKIN-HAWKINS PA
Physician Assistant (Medical)
214 N WEST AVE
JACKSON, MI 49201
Jackson County (517) 784-9189
MISS AUDREY P BAXTER RDN
Dietitian, Registered
214 N WEST AVE
JACKSON, MI 49201
Jackson County (517) 784-9189
ELIZABETH G ZWICK P.A.
Physician Assistant (Medical)
214 N WEST AVE
JACKSON, MI 49201
Jackson County (517) 784-9189
SARAH KUBIAK PT, DPT
Physical Therapist
214 N WEST AVE
JACKSON, MI 49201
Jackson County (517) 783-6670
DR. MATT TOREN ROSENBERG M.D.
Family Medicine
214 N WEST AVE
JACKSON, MI 49201
Jackson County (517) 784-9189
CONNIE HINKLEY PT
Physical Therapist
214 N WEST AVE
JACKSON, MI 49201
Jackson County (517) 783-6670

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kennedy Koebbe's NPI number?

The NPI number for Kennedy Koebbe is 1790679819. It was assigned to this individual provider in the NPPES registry on June 4, 2025.

Where is Kennedy Koebbe located?

Kennedy Koebbe practices at 214 N West Ave, Jackson, MI 49201. The listed phone number is (517) 784-9189.

What is Kennedy Koebbe's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Kennedy Koebbe was last updated on June 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.