JESSICA ROSE COOPER CNP NPI 1548581218

NPI Information

NPI: 1548581218
Provider Name: JESSICA ROSE COOPER, CNP
Classification: Clinical Nurse Specialist - 364SW0102X
Entity Type: Individual

Specialization: Women's Health

PECOS Registration: Yes

Address:
6438 WILMINGTON PIKE STE 300
CENTERVILLE, OH
ZIP 45459
Phone: (937) 848-4850
Get Directions

Jessica Rose Cooper, CNP is a women's health clinical nurse specialist in Centerville, OH with 15 years of experience. Jessica Rose Cooper, CNP NPI is 1548581218. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

6438 WILMINGTON PIKE STE 300
CENTERVILLE, OH
ZIP 45459-021
Phone: (937) 848-4850
Fax: (937) 848-4858

The NPI 1548581218 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 6/17/2010 and was last updated on 1/25/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LW0102X	Nurse Practitioner	Women's Health	COA.10960 NP	OHIO	No
2	364SW0102X	Clinical Nurse Specialist	Women's Health	APRN.CNP.10960	OHIO	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	3055232	MEDICAID	OHIO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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