Jennifer Adele Korkosz, NP

Primary specialty

Women's Health Nurse PractitionerTaxonomy code 363LW0102X

License

584645 Issued in TX

Practice address

1050 W Perimeter Rd
779 Medical Group Sgcgm
JB Andrews, MD 20762-6601

Phone

(240) 857-7447

NPI assigned

Oct 24, 2005

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other names 1

• Jennifer Adele Steils Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Nurse Practitioner

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1130112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1423612800000",
    "number": "1891785697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1050 WEST PERIMETER RD",
            "address_2": "MALCOLM GROW MEDICAL CENTER/SGCGM",
            "city": "JOINT BASE ANDREWS",
            "state": "MD",
            "postal_code": "20762",
            "telephone_number": "240-857-7447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1050 W PERIMETER RD",
            "address_2": "779 MEDICAL GROUP SGCGM",
            "city": "JB ANDREWS",
            "state": "MD",
            "postal_code": "207626601",
            "telephone_number": "240-857-7447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KORKOSZ",
        "first_name": "JENNIFER",
        "middle_name": "ADELE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-24",
        "last_updated": "2015-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "TX",
            "license": "584645",
            "primary": true
        },
        {
            "code": "363LX0001X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Obstetrics & Gynecology",
            "state": "NV",
            "license": "APN001022",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "STEILS",
            "middle_name": "ADELE",
            "credential": "NP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Nathan Marc Kinder, DO
• Pei-Ying Chang Kobres
• Erik K Koda, MD
• Carly Koenig
• Albert Kennedy Koerner, M.D.
• Maxwell Emerson Kruse, MD
• Hannah Rose Kurth
• Nicholas Lahvic
• Lisa Dang Larose, M.D.
• Catherine Edelmira Larowe, DO

• Women's Health Nurse Practitioner in JB Andrews, MD
• Providers in JB Andrews, MD by specialty
• Women's Health Nurse Practitioner in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.