Individual
MRS. JANE M COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN BC FNP
Contact information
Practice address
303 N KEENE ST STE 401, COLUMBIA, MO 65201-8054
(573) 884-2200
(573) 874-8737
Mailing address
PO BOX 843966, KANSAS CITY, MO 64184-3966
(573) 884-3300
(573) 884-0943
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
074850
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
425251501
—
MO
Enumeration date
09/13/2005
Last updated
01/21/2021
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