# JEAN F KOOPS

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1710907472
- **Gender:** F
- **Credential:** NP

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363L00000X | Nurse Practitioner | 4704208803 | MI | Yes |

## Other

- **Enumeration date:** 07/19/2006
- **Last updated:** 10/06/2009

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1558407189 | GROUP NPI | MI |
| 05 | — | 4663905 | — | MI |
| 01 | — | 5008704110 | BCBS PIN | MI |