Individual
JESSICA A KOINER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
IBCLC
Contact information
Practice address
4429 SUMMERCREST CT, FORT WORTH, TX 76109-3416
(817) 330-4317
Mailing address
4429 SUMMERCREST CT, FORT WORTH, TX 76109-3416
(817) 330-4317
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
—
—
Other
Enumeration date
01/20/2026
Last updated
01/20/2026
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