Individual
JENNIFER COOPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
21 BLOOMINGDALE RD, WHITE PLAINS, NY 10605-1504
(914) 682-9100
Mailing address
21 BLOOMINGDALE RD, WHITE PLAINS, NY 10605-1504
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
681697
NY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
403788
NY
Other
Enumeration date
07/27/2018
Last updated
03/16/2022
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