Individual
JESSICA COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, CPNP
Contact information
Practice address
282 WASHINGTON ST, HARTFORD, CT 06106-3322
(860) 545-9520
Mailing address
5 PARKVIEW DR, PLANTSVILLE, CT 06479-1917
(860) 778-8406
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
4195
CT
Other
Enumeration date
09/11/2009
Last updated
09/01/2011
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