Cooper, Jeniesha
Cooper, Jeniesha is an individual health care provider with primary practice located at 1607 Barrington Vw , Stone Mountain GA 30087-1846. She recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as her primary health care specialty. Cooper, Jeniesha can be contacted via phone (678) 582-9317.Contact Information
Primary practice address
1607 Barrington Vw
Stone Mountain GA 30087-1846
Phone: (678) 582-9317
Fax: (678) 705-3735
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / Licensed Practical Nurse | 164W00000X | 27072457A | Georgia |
Profile Details
| NPI number | 1992447023 |
|---|---|
| LBN Legal business name | Cooper, Jeniesha |
| Credentials | Licensed Practical Nurse (LPN) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 9th, 2022 |
| Last updated | Apr 9th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1992447023 | NPPES |
| Georgia | MEDICAID | 003258912A |
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