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JACQUELINE J KOSS CNP
NPI 1619934866
Nurse Practitioner - Women's Health in Manchester, TN

Active since April 28, 2006
1301 MCARTHUR ST, MANCHESTER, TN 37355(931) 728-6800(931) 728-2911 Get Directions Write a Review

NPPES record last updated: October 2, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jacqueline J Koss Cnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JACQUELINE J KOSS CNP (NPI 1619934866) is an individual women's health provider in Manchester, Tennessee, licensed in Tennessee (APN0000007514) and active in the NPI registry since April 2006.

NPPES Registry Identity

NPI1619934866
Entity TypeIndividualFemale
Primary Taxonomy363LW0102X
Provider Legal NameJACQUELINE J KOSSCredential: CNP
Location Address1301 MCARTHUR STManchester, TN 37355-2425
Mailing AddressPo Box 1065Manchester, TN 37349-1065 · (931) 728-6800 · Fax (931) 728-2911
Phone(931) 728-6800
Fax(931) 728-2911
Sole ProprietorNo
Enumeration DateApril 28, 2006
Last NPPES UpdateOctober 2, 2012
✔ NPI 1619934866 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Women's HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LW0102X
License✔ Licensed in TN · APN0000007514
1301 MCARTHUR ST, Manchester, TN 37355
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Other Identifiers 4

Medicaid3348574TN
Medicare UPINP87569TN
Other4102275TN · Bcbs
Medicare ID-Type Unspecified3348575TN

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

WHOLE FAMILY CLINIC, PLLC
Clinic/Center (Primary Care)
1301 MCARTHUR ST
MANCHESTER, TN 37355
Coffee County (931) 728-6800

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jacqueline Koss's NPI number?

The NPI number for Jacqueline Koss is 1619934866. It was assigned to this individual provider in the NPPES registry on April 28, 2006.

Where is Jacqueline Koss located?

Jacqueline Koss practices at 1301 Mcarthur St, Manchester, TN 37355. The listed phone number is (931) 728-6800.

What is Jacqueline Koss's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Women's Health, with taxonomy code 363LW0102X.

When was this NPI record last updated?

The NPPES record for Jacqueline Koss was last updated on October 2, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.