Cooper, Jane M

Cooper, Jane M is an individual health care provider with primary practice located at 303 N Keene St Ste 401 , Columbia MO 65201-8054. 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, Jane M can be contacted via phone (573) 884-2200.

Contact Information

Primary practice address
303 N Keene St Ste 401 Columbia MO 65201-8054
Phone: (573) 884-2200
Fax: (573) 874-8737
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 074850 Missouri

Profile Details

NPI number 1396730677
LBN Legal business name Cooper, Jane M
Credentials RN BC FNP
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 13th, 2005
Last updated Jan 21st, 2021 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1396730677 NPPES
Missouri MEDICAID 425251501

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