Individual
MS. JENNIFER ANNE KOEB
Active
Individual
MS. JENNIFER ANNE KOEB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ACNP
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
041526774
IL
163W00000X
Registered Nurse
Primary
2011002487
MO
363LG0600X
Gerontology Nurse Practitioner
Primary
2026011781
MO
Other
Enumeration date
11/21/2025
Last updated
04/03/2026
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