Individual
JENNIFER COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
1501 39TH ST, FORT MADISON, IA 52627-3223
(319) 774-7518
Mailing address
1501 39TH ST, FORT MADISON, IA 52627-3223
(319) 774-7518
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
119632
IA
363LF0000X
Family Nurse Practitioner
Primary
A166727
IA
Other
Enumeration date
12/17/2021
Last updated
10/28/2022
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