Provider Demographics
NPI:1013015973
Name:KOSKINEN, JENNIFER L (APRN, CNM)
Entity type:Individual
Prefix:MS
First Name:JENNIFER
Middle Name:L
Last Name:KOSKINEN
Suffix:
Gender:F
Credentials:APRN, CNM
Other - Prefix:MS
Other - First Name:JENNIFER
Other - Middle Name:L
Other - Last Name:KNAPP
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1317 EDGEWATER DR # 3642
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32804-6350
Mailing Address - Country:US
Mailing Address - Phone:321-475-4844
Mailing Address - Fax:866-504-9297
Practice Address - Street 1:1317 EDGEWATER DR # 3642
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32804-6350
Practice Address - Country:US
Practice Address - Phone:321-475-4844
Practice Address - Fax:866-504-9297
Is Sole Proprietor?:No
Enumeration Date:2006-09-21
Last Update Date:2025-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT001104363LX0001X
CT208367A00000X
FL11029051367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife
No363LX0001XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT1013015973Medicaid
FL11029051OtherAPRN