Individual
JILL I COSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
714 N SENATE AVE STE 200, INDIANAPOLIS, IN 46202-3297
(317) 963-1616
(317) 963-1621
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
71007731A
IN
363LF0000X
Family Nurse Practitioner
28189022A
IN
363LF0000X
Family Nurse Practitioner
Primary
71007731A
IN
Other
Enumeration date
01/10/2018
Last updated
02/04/2021
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