# JAMIE L COOPER

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1629017199
- **Gender:** F
- **Credential:** DO

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | 02002828A | IN | Yes |

## Other

- **Enumeration date:** 06/06/2006
- **Last updated:** 07/01/2019

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 000000480530 | ANTHEM | IN |
| 01 | — | 000000720579 | ANTHEM | IN |
| 01 | — | 1935002 | CIGNA | IN |
| 05 | — | 200543500 | — | IN |
| 01 | — | 7554169 | AETNA | IN |