Individual
MS. JENNIE L COOPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1838 GREENE TREE RD, SUITE 400, BALTIMORE, MD 21208-6391
(410) 531-1180
(301) 854-2214
Mailing address
13728 SPRINGDALE DR, CLARKSVILLE, MD 21029-1353
(410) 531-1180
(301) 854-2214
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
R041214
MD
Other
Enumeration date
10/27/2006
Last updated
07/08/2007
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