| NPI | 1770650913 |
|---|---|
| Other Name | JESSICA LYNN KOZIERACHI |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OR 201150181NP) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: DE LG-0000417) |
| 363LF0000X Nurse Practitioner, Family (Licence: NJ 26NJ00158000) | |
| Enumeration Date | 2006-11-30 |
| Last Update Date | 2017-05-11 |