Individual
JESSICA KOCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
2003 SULLIVAN TRL, EASTON, PA 18040-8339
(484) 503-6470
Mailing address
2003 SULLIVAN TRL, EASTON, PA 18040-8339
(484) 503-6400
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
SP026428
PA
Other
Enumeration date
10/12/2022
Last updated
12/03/2025
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