Individual
JORDANN KOKOSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
2817 ROCK MERRITT AVE, FORT BRAGG, NC 28310-7069
(910) 907-8922
(910) 907-6069
Mailing address
2817 ROCK MERRITT AVE, FORT BRAGG, NC 28310-7069
(910) 907-1030
(910) 907-6069
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
83008
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
83008
MEDICAL LICENSE
GA
Enumeration date
07/26/2017
Last updated
07/22/2025
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