Jackson, Koscher Denee

Jackson, Koscher Denee is an individual health care provider with primary practice located at 613 Marquette Rd , Brandon MS 39042-3038. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Jackson, Koscher Denee can be contacted via phone (601) 824-0342.

Contact Information

Primary practice address
613 Marquette Rd Brandon MS 39042-3038
Phone: (601) 824-0342
Fax: (601) 824-0349
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X R865579 Mississippi
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X R865579 Mississippi

Profile Details

NPI number 1417350182
LBN Legal business name Jackson, Koscher Denee
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 8th, 2014
Last updated Mar 22nd, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1417350182 NPPES
Mississippi MEDICAID R865579

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