Individual
JESSICA ROSE COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
6438 WILMINGTON PIKE STE 300, CENTERVILLE, OH 45459-7021
(937) 848-4850
(937) 848-4858
Mailing address
1 PRESTIGE PL STE 550, MIAMISBURG, OH 45342-6115
(937) 762-1310
(375) 228-0689
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
APRN.CNP.10960
OH
364SW0102X
Women's Health Clinical Nurse Specialist
APRN.CNP.10960
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3055232
—
OH
Enumeration date
06/17/2010
Last updated
11/05/2024
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