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Individual
MRS. KOSCHER DENEE JACKSON
Active
Individual
MRS. KOSCHER DENEE JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
R865579
MS
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
R865579
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
R865579
—
MS
Enumeration date
10/08/2014
Last updated
03/22/2021
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