| NPI | 1497424394 |
|---|---|
| Former Name | JENNIFER LYNN KOEPKE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WI 11266) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: WI 1126633) |
| Enumeration Date | 2021-09-13 |
| Last Update Date | 2026-05-08 |