Individual provider · Type 1 NPI
Jessica Koch, NP-C
Family Nurse Practitioner · Lawrenceville, GA
NPI number
1366992190
Active
Practice location
3330 Sugarloaf Pkwy, Suite A
Lawrenceville, GA 30044-5518
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | RN213005 (GA) |
Family Nurse Practitioner: Definition to come...
Another provider at this address
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About NPI 1366992190
Jessica Koch, NP-C's National Provider Identifier is 1366992190, issued on Oct 5, 2016. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Lawrenceville, GA. The record was last updated on Feb 24, 2017.