Individual provider · Type 1 NPI
Jessica A. Koval, NP
Family Nurse Practitioner · Boston, MA
NPI number
1043582216
Active
Practice location
850 Harrison Ave, Yacc 4
Boston, MA 02118-4001
Fax (617) 414-2090
Mailing address
720 Harrison Ave, Dob 503
Boston, MA 02118-2371
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner | 363L00000X | NPP00204-T (RI) |
| Family Nurse Practitioner Primary | 363LF0000X | RN2263982 (MA) |
Family Nurse Practitioner: Definition to come...
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About NPI 1043582216
Jessica A. Koval, NP's National Provider Identifier is 1043582216, issued on Feb 3, 2012. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Boston, MA. The record was last updated on Jul 17, 2014.