NPI Code Detail JSON Logo

1457661449 NPI number — JENNIFER KOSER NP

NPI Number: 1457661449
Health Care Provider/Practitioner: JENNIFER KOSER NP

Information about “1457661449” NPI (JENNIFER KOSER NP) exists in 1457661449 in HTML format HTML  |  1457661449 in plain Text format TXT  |  1457661449 in PDF (Portable Document Format) PDF  |  1457661449 in an XML format XML  formats.

NPI Number : 1457661449 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1457661449",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "KOSER",
    "FirstName": "JENNIFER",
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "NP",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "MACADAM",
    "OtherFirstName": "JENNIFER",
    "OtherMiddleName": "LYNN",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": "NP",
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "1301 PETERS DR",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "SAINT JOSEPH",
    "MailingAddressStateName": "IL",
    "MailingAddressPostalCode": "61873-8821",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "954-254-8867",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "1801 W WINDSOR RD",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "CHAMPAIGN",
    "PracticeLocationAddressStateName": "IL",
    "PracticeLocationAddressPostalCode": "61822-6217",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "217-366-8130",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "10/08/2010",
    "LastUpdateDate": "01/09/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "363LF0000X",
          "TaxonomyName": "Family Nurse Practitioner",
          "LicenseNumber": "ARNP9293693",
          "LicenseNumberStateCode": "FL",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "363LF0000X",
          "TaxonomyName": "Family Nurse Practitioner",
          "LicenseNumber": "COA.11926-NP",
          "LicenseNumberStateCode": "OH",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "363LF0000X",
          "TaxonomyName": "Family Nurse Practitioner",
          "LicenseNumber": "209.023092",
          "LicenseNumberStateCode": "IL",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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