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Individual

JENNIFER ADELE KORKOSZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
1050 W PERIMETER RD, 779 MEDICAL GROUP SGCGM, JB ANDREWS, MD 20762-6601
(240) 857-7447
Mailing address
1050 WEST PERIMETER RD, MALCOLM GROW MEDICAL CENTER/SGCGM, JOINT BASE ANDREWS, MD 20762
(240) 857-7447

Taxonomy

Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
584645
TX
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
APN001022
NV

Other

Enumeration date
10/24/2005
Last updated
02/11/2015
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