Individual provider · Type 1 NPI

Jamie Lee Koshko, APRN

Family Nurse Practitioner · Bradenton, FL

NPI number 1063304293 Active

Practice location

3630 Manatee Ave W
Bradenton, FL 34205-2557

Fax (941) 795-3924

Mailing address

PO Box 102222
Atlanta, GA 30368-2222

Other practice locations

  • 1941 Waldemere St Fl 4, Sarasota, FL 34239-2922 · (941) 957-1000

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000XAPRN11041501 (FL)

Family Nurse Practitioner: Definition to come...

10 other providers at this address

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About NPI 1063304293

Jamie Lee Koshko, APRN's National Provider Identifier is 1063304293, issued on Jul 21, 2025. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Bradenton, FL. The record was last updated on Jun 1, 2026.