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NPI Code Detail

MEDICARE: JENNIFER KOSER NP

MEDICARE: JENNIFER KOSER NP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse Practitioner209.023092IL

General Provider Information

NPI Number : 1457661449
Entity Type Code : Individual
Provider Name (Legal Business Name) : JENNIFER KOSER NP
Provider Business Mailing Address
First Line : 1301 PETERS DR
Second Line :
City : SAINT JOSEPH
State : IL
Zip : 61873-8821
Country : US
Telephone Number : 954-254-8867
Fax Number :
Provider Business Practice Location Address
First Line : 801 N LOGAN AVE
Second Line :
City : DANVILLE
State : IL
Zip : 61832-3715
Country : US
Telephone Number : 217-443-3106
Fax Number : 217-443-3187
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/08/2010
Last Update Date : 04/22/2026

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