Individual
JEANETTE KOSTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1906 BELLEVIEW AVE SE, ROANOKE, VA 24014-1838
(540) 981-8621
Mailing address
297 CLEARVIEW DR, CHRISTIANSBURG, VA 24073-1813
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
0024-166756
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010268851
—
VA
Enumeration date
03/24/2006
Last updated
09/09/2021
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