| NPI | 1467425751 |
|---|---|
| Former Name | JENNIFER L COOPER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: AZ 248715) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MN 2375) |
| 363LA2200X Nurse Practitioner Adult Health (Licence: MN CNP2375) | |
| Enumeration Date | 2006-02-08 |
| Last Update Date | 2023-01-30 |