Search › Tennessee › 363LW0102X
Jacqueline Koss, CNP
NPI 1619934866 · on the registry since 2006
Practice
- Address
- 1301 Mcarthur St
Manchester, TN 37355 - Phone
- (931) 728-6800
- Fax
- (931) 728-2911
- Organisation at this address
- Whole Family Clinic, Pllc
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 363LW0102X
363LW0102X
- Licence states on file
- TN
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2012-10-02
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Tennessee