Individual
JENNIFER COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
222 S HERLONG AVE, ROCK HILL, SC 29732-1158
(803) 329-1234
Mailing address
5516 CREPE MYRTLE RD, YORK, SC 29745-9674
(803) 517-8774
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
20116
SC
Other
Enumeration date
04/01/2016
Last updated
03/14/2017
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