Individual
JESSICA L KOCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN-CNP
Contact information
Practice address
111 S GRANT AVE STE 350, COLUMBUS, OH 43215-4701
(614) 533-9550
Mailing address
5450 FRANTZ RD STE 360, DUBLIN, OH 43016-4141
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
APRN.CNP.022142
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0157359
—
OH
Enumeration date
02/09/2016
Last updated
01/19/2021
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