Provider Demographics
NPI:1750090411
Name:PARIS-COSSU, JENNIFER KIRSTEN
Entity type:Individual
Prefix:
First Name:JENNIFER
Middle Name:KIRSTEN
Last Name:PARIS-COSSU
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:47 MARLOWE RD
Mailing Address - Street 2:
Mailing Address - City:FAIRVIEW
Mailing Address - State:NC
Mailing Address - Zip Code:28730-8646
Mailing Address - Country:US
Mailing Address - Phone:828-423-0780
Mailing Address - Fax:
Practice Address - Street 1:263 HAYWOOD ST STE 104
Practice Address - Street 2:
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28801-2629
Practice Address - Country:US
Practice Address - Phone:828-423-0780
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-11-21
Last Update Date:2022-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC1085171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist