Individual
JILL MARIE KOEPPEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
10084 REISTERSTOWN RD STE 200A, OWINGS MILLS, MD 21117-4096
(410) 552-5050
(410) 552-0200
Mailing address
6190 GEORGETOWN BLVD STE 104, ELDERSBURG, MD 21784-6460
(410) 552-5050
(410) 552-0200
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R149853
MD
Other
Enumeration date
09/09/2005
Last updated
01/11/2021
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