| Doctor Name: | MRS. JANE STOVER KOCH |
| NPI Number: | 1255395828 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | CRNP |
| License Number: | R094907 |
| Business Practice Address: | Vamhcs Perry Point Bldg 23b Perry Point, MD - 21902 |
| Business Phone Number: | 4106422411 |
| Business Fax Number: | 4106421710 |
| Mailing Address: | 271 Mike Dr, ELKTON |
| State: | MD |
| Postal Code: | 219214960 |
| Phone Number: | 4103982099 |
| Fax Number: | |
| NPI Enumeration Date: | 04/12/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LA2100X |
| License Number: | R094907 |
| Healthcare Provider Taxonomy: (Secondary) | X |
| State: | MD |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Acute Care |
| Taxonomy Definition: | |