Individual
JENNIFER L. COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
9601 INTERSTATE 630 # EXIT7, LITTLE ROCK, AR 72205-7202
(501) 202-2093
Mailing address
11001 EXECUTIVE CENTER DR, STE 200, LITTLE ROCK, AR 72211-4316
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
C02749
AR
367500000X
Certified Registered Nurse Anesthetist
Primary
R83375
AR
Other
Enumeration date
05/18/2009
Last updated
05/22/2009
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