NPI | 1124516661 |
---|---|
Professional Name | JARED COOPER |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: VA 0024186982) |
Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: GA 179606) |
Enumeration Date | 2018-04-30 |
Last Update Date | 2025-10-08 |