Cooper, Jacqueline Denise

Cooper, Jacqueline Denise is an individual health care provider with primary practice located at 1225 E Garrison Blvd , Gastonia NC 28054-5115. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife, Nursing Service Providers / Maternal Newborn. Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife is her primary health care specialty. Cooper, Jacqueline Denise can be contacted via phone (704) 865-7416.

Contact Information

Primary practice address
1225 E Garrison Blvd Gastonia NC 28054-5115
Phone: (704) 865-7416
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X 850 North Carolina
Nursing Service Providers / Maternal Newborn 163WM0102X 268283 North Carolina

Profile Details

NPI number 1265080071
LBN Legal business name Cooper, Jacqueline Denise
Credentials Certified Nurse Midwife (CNM)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 27th, 2019
Last updated Oct 12th, 2022 - about 2 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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