Cooper, Jaclyn J

Cooper, Jaclyn J is an individual health care provider with primary practice located at 2425 Dave Ward Dr Suite 601, Conway AR 72034-8686. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Cooper, Jaclyn J can be contacted via phone (501) 773-6993.

Contact Information

Primary practice address
2425 Dave Ward Dr Suite 601 Conway AR 72034-8686
Phone: (501) 773-6993
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X A03480 Arkansas

Profile Details

NPI number 1851697197
LBN Legal business name Cooper, Jaclyn J
Credentials Advanced Practice Nurse (APN)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 3rd, 2011
Last updated Apr 5th, 2022 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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