Individual
JESSICA KOCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
3330 SUGARLOAF PKWY, SUITE A, LAWRENCEVILLE, GA 30044-5518
(678) 710-2727
Mailing address
3330 SUGARLOAF PKWY, SUITE A, LAWRENCEVILLE, GA 30044-5518
(678) 710-2727
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN213005
GA
Other
Enumeration date
10/05/2016
Last updated
02/24/2017
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