Individual
JENNIFER ADELE KORKOSZ
Active
Individual
JENNIFER ADELE KORKOSZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
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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