Individual provider · Type 1 NPI
Jillian Rae Koterba, RN
Family Nurse Practitioner · Owosso, MI
NPI number
1497407688
Active
Practice location
713 Hollywood Dr
Owosso, MI 48867-1109
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | 4704279051 (MI) |
| Family Nurse Practitioner Primary | 363LF0000X | 4704279051 (MI) |
Family Nurse Practitioner: Definition to come...
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About NPI 1497407688
Jillian Rae Koterba, RN's National Provider Identifier is 1497407688, issued on Jan 19, 2022. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Owosso, MI. The record was last updated on Feb 2, 2023.