JEFFREY KOONS NPI 1215479969

NPI Information

  • NPI: 1215479969
  • Provider Name: JEFFREY KOONS
  • Classification: Registered Nurse - 163WH0200X
  • Specialization: Home Health
  • Entity Type: Individual
  • Address: 1684 EDGERTON ST
    MAPLEWOOD, MN
    ZIP 55117
  • Phone: (612) 414-2332

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NPI Details

Jeffrey Koons is a home health registered nurse in Maplewood, MN. Jeffrey Koons NPI is 1215479969. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1684 EDGERTON ST
MAPLEWOOD, MN
ZIP 55117-419
Phone: (612) 414-2332

The enumeration date for this NPI number is 11/12/2016 and was last updated on 11/12/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1163WH0200XRegistered NurseHome Health174221-5MINNESOTAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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