Individual
JENIFER MARIANN COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
402 SIEGEL ST, TAMA, IA 52339-2302
(641) 484-3333
(641) 484-3208
Mailing address
402 SIEGEL ST, TAMA, IA 52339-2302
(641) 484-3333
(641) 484-3208
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
A158934
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
143924
IBON--RN
IA
01
—
A158934
IBON
IA
Enumeration date
06/08/2020
Last updated
03/28/2025
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