Individual
JILL KRISTEN COUCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
100 15TH ST NW STE 307, NORTON, VA 24273-1616
(276) 679-9002
Mailing address
1021 W OAKLAND AVE STE 310, JOHNSON CITY, TN 37604-2192
(423) 952-2111
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
0102201652
VA
208M00000X
Hospitalist Physician
Primary
0102201652
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1972561702
—
VA
05
—
Q024040
—
TN
Enumeration date
05/02/2006
Last updated
12/12/2025
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