Individual
JEANANN SOUSOU-COPPOLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
100 BOWMAN DR FL 1, VOORHEES, NJ 08043-9612
(856) 247-2645
(856) 247-2905
Mailing address
301 LIPPINCOTT DR STE 410, MARLTON, NJ 08053-4197
(856) 355-0340
(856) 355-0330
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
25ME00039701
NJ
Other
Enumeration date
06/25/2006
Last updated
10/17/2020
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