Individual
MRS. JACQUELINE HALL COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
817 FEDERAL ST, SUITE 300, CAMDEN, NJ 08103-1539
(856) 541-9811
Mailing address
14 RITTENHOUSE SQ, SICKLERVILLE, NJ 08081-4047
(856) 287-9461
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
26NJ0036900
NJ
363LA2200X
Adult Health Nurse Practitioner
SP012024
PA
Other
Enumeration date
04/11/2012
Last updated
03/03/2014
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