Individual
MRS. JENNA RENEA COOPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
100 RICE MINE ROAD LOOP STE 301, TUSCALOOSA, AL 35406-2417
(205) 247-5302
Mailing address
5991 CANDLER AVE, TUSCALOOSA, AL 35406-2991
(205) 247-5302
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1-079436
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
515-31417
BLUECROSS/BLUESHIELD
AL
01
—
515-31544
BLUECROSS/BLUESHIELD
AL
01
—
515-32587
BLUECROSS/BLUESHIELD
AL
01
—
515-33037
BLUECROSS/BLUESHIELD
AL
01
—
51532435
BLUECROSS/BLUESHIELD
AL
05
—
891010700
—
AL
05
—
891010760
—
AL
05
—
891010770
—
AL
05
—
891011330
—
AL
Enumeration date
09/20/2006
Last updated
08/15/2024
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