Individual
JENNIFER LEIGHANNE COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2900 16TH ST, BEDFORD, IN 47421-3510
(812) 276-4496
Mailing address
2900 16TH ST, BEDFORD, IN 47421-3510
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
71010193A
IN
363LF0000X
Family Nurse Practitioner
Primary
28212015A
IN
Other
Enumeration date
05/18/2020
Last updated
08/11/2025
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