Individual
JORDYN COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1401 BAPTISTE DR STE A, PAOLA, KS 66071-1888
(913) 294-2305
(913) 294-2305
Mailing address
1401 BAPTISTE DR STE A, PAOLA, KS 66071-1888
(913) 294-2305
(913) 294-2305
Taxonomy
Speciality
Code
Description
License number
State
163WN0002X
Neonatal Intensive Care Registered Nurse
2015018000
MO
363LF0000X
Family Nurse Practitioner
Primary
53-79001
KS
Other
Enumeration date
07/31/2019
Last updated
04/16/2025
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