Individual
JESSICA COONEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
3901 BEAUBIEN, CHILDREN'S HOSPITAL OF MI, DETROIT, MI 48201
(313) 745-5260
(313) 993-7166
Mailing address
4201 ST. ANTIONE UHC 5D, UNIVERSITY PEDIATRICIANS, DETROIT, MI 48201
(313) 966-5051
(313) 966-0665
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
4704222272
MI
Other
Enumeration date
09/16/2012
Last updated
09/03/2013
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