Individual
JESANNA CAROLAN COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
832 PRINCETON AVE SW, BIRMINGHAM, AL 35211-1320
(205) 206-8477
(205) 397-0986
Mailing address
PO BOX 12366, BIRMINGHAM, AL 35202-2366
(205) 780-7101
(205) 206-8338
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
28204
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
148407
—
AL
01
—
511-35294
BCBS OF ALABAMA
AL
Enumeration date
06/29/2007
Last updated
10/16/2018
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