IndividualActive
Jahoon Koo, ACNPC-AG
NPI 1629554209 · Acute Care Nurse Practitioner · Stanley, WI
Provider details
- NPI number
- 1629554209
- Entity type
- Individual
- Primary specialty
- Acute Care Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- ACNPC-AG
- Sex
- Male
- Sole proprietor
- Yes
- License
- APNP8026-33 (WI)
Mailing address
12111 W Beloit Rd Apt 6
Greenfield, WI 53228-1910
Registry dates
- Enumerated
- 2018-07-17
- Last updated
- 2022-12-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.