Cooper, Jenna Joe Rose
Cooper, Jenna Joe Rose is an sole proprietor health care provider with primary practice located at 2204 Jefferson Davis Dr , Oxford MS 38655-5222. She recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as her primary health care specialty. Cooper, Jenna Joe Rose can be contacted via phone (662) 316-6133.Contact Information
Primary practice address
2204 Jefferson Davis Dr
Oxford MS 38655-5222
Phone: (662) 316-6133
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | PA00382 | Mississippi |
Profile Details
| NPI number | 1427535079 |
|---|---|
| LBN Legal business name | Cooper, Jenna Joe Rose |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 26th, 2018 |
| Last updated | Jul 26th, 2018 - about 6 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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