Individual
JACQUELINE J KOSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
1301 MCARTHUR ST, MANCHESTER, TN 37355-2425
(931) 728-6800
(931) 728-2911
Mailing address
PO BOX 1065, MANCHESTER, TN 37349-1065
(931) 728-6800
(931) 728-2911
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
APN0000007514
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3348574
—
TN
01
—
4102275
BCBS
TN
Enumeration date
04/28/2006
Last updated
10/02/2012
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