Jacqulin Coston
Driver in Gretna, VA. Individual provider (NPI-1).
NPI number1902321722
StatusActive
Last updated in NPPESJul 21, 2022
Details
- NPI
- 1902321722
- Entity type
- Individual (NPI-1)
- Name
- Jacqulin Coston
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 14, 2017
- Last updated
- Jul 21, 2022
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 172A00000X | Driver | – | – | Yes |
Practice location
90 Lewis RdGretna, VA 24557-2147
Phone 856-217-1931
Mailing address
90 Lewis RdGretna, VA 24557-2147
Phone 856-217-1931
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 9 Driver providers in Gretna · All 71 providers in Gretna
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