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General NPI Number Information
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NPI Number | 1093638579
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Entity Type | Individual
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Provider Name | JERRICA ANN KOSTER ARNP
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Gender | Female
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Dates
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Enumeration Date | 08/03/2026
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Last Update Date | 08/03/2026
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Provider Practice Location Address
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Address Line | 1229 C AVE E
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City | OSKALOOSA
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State | IA
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Zip | 52577-4246
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Country | US
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Telephone | 641-672-3360
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Fax |
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Provider Business Mailing Address
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Address Line | 6068 PLAZA CT
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City | BROOKLYN
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State | IA
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Zip | 52211-9409
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Country | US
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Telephone | 641-990-2863
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number | A192893
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License Number State | IA
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