Individual
JACK LOUIS KACZMARCZYK JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PMHNP-BC, FNP-BC
Contact information
Practice address
221 W WEBSTER AVE STE 303, MUSKEGON, MI 49440-1294
(231) 335-1630
(231) 259-4395
Mailing address
221 W WEBSTER AVE STE 303, MUSKEGON, MI 49440-1294
(231) 335-1630
(231) 259-4395
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
4704310792
MI
363LF0000X
Family Nurse Practitioner
4704310792
MI
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
4704310792
MI
Other
Enumeration date
03/27/2023
Last updated
01/15/2026
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