Individual
JENNIFER KOCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
700 WEST AVE S, LA CROSSE, WI 54601-4783
(608) 785-0940
(608) 392-9898
Mailing address
PO BOX 1510, EAU CLAIRE, WI 54702-1510
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
152935
WI
363LN0005X
Critical Care Neonatal Nurse Practitioner
152935
WI
Other
Enumeration date
10/18/2006
Last updated
02/07/2025
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