Individual
MS. JESSICA COOLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
5251 W CAMPBELL AVE STE 105, PHOENIX, AZ 85031
(623) 547-5235
(623) 533-6271
Mailing address
PO BOX 5204, GOODYEAR, AZ 85338-0603
(623) 889-3477
(623) 889-3478
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5831
AZ
Other
Enumeration date
10/09/2014
Last updated
10/28/2021
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