Jesse R Kooistra
FNP | Nurse Practitioner
1500 Provident Dr Ste A, Warsaw
Indiana, 46580-3297
574-372-7637
Jesse R Kooistra is a Warsaw, Indiana based nurse practitioner who is specialized as Nurse Practitioner nurse. Active license number of Jesse R Kooistra is 71016732A for Family in Indiana. His current practice location is 1500 Provident Dr Ste A, Warsaw. Patients can reach him at 574-372-7637. Jesse R Kooistra is FNP with specialization in Nurse Practitioner and his NPI number (Unique professional ID assigned by NPPES) is 1467251496.
Jesse R Kooistra has completed additional training beyond basic nursing education and provides primary health care services in accordance with state nurse practice laws or statutes. NPs are trained to assess patient needs, order and interpret diagnostic and laboratory tests, diagnose disease, formulate and prescribe medications and treatment plans.
Complete Profile:
Jesse R Kooistra speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
| Name: | Jesse R Kooistra |
| Specialization: | Nurse Practitioner Nurse Practitioner (NP) |
| Gender: | Male |
| Credentials: | FNP |
| Practice Address: | 1500 Provident Dr Ste A, Warsaw,
Indiana, 46580-3297 |
| Phone: | 574-372-7637 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| NPI Number: | 1467251496 |
| NPI Enumeration Date: | 11 Mar, 2025 |
| NPI Last Update On: | 18 Jul, 2025 |
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Jesse R Kooistra are as mentioned below.
| License Number | Specialization | State | Status | |
| 71016732A | Family | Indiana | Primary | |
| Emergency Medical Technician, Basic | | Secondary | |
| E3105472 | Registered Nurse | Indiana | Secondary | |
| E3105472 | Family | Indiana | Secondary | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Jesse R Kooistra
6920 Pointe Inverness Way Ste 200,
Fort Wayne, Indiana |
| Zip: | 46804-7934 |
| Phone Number: | 260-479-3513 |
Patients can reach Jesse R Kooistra at
1500 Provident Dr Ste A, Warsaw, Indiana or can
call to book an appointment on 574-372-7637.
Comments/ Reviews:
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.