Individual
MRS. JENNIFER ELAINE COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSCCCA
Contact information
Practice address
1741 NE DOUGLAS ST STE 101, LEES SUMMIT, MO 64086-4704
(816) 415-3233
(816) 415-3234
Mailing address
2101 LIBERTY DR, LIBERTY, MO 64068-7720
(816) 415-3233
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
118465
MO
237600000X
Audiologist-Hearing Aid Fitter
Primary
118465
MO
237600000X
Audiologist-Hearing Aid Fitter
1947
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
22494034
BCBS
MO
Enumeration date
11/17/2005
Last updated
06/26/2025
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