Cooper, Jenna Renea

Cooper, Jenna Renea is an sole proprietor health care provider with primary practice located at 100 Rice Mine Road Loop Ste 301 , Tuscaloosa AL 35406-2417. 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, Jenna Renea can be contacted via phone (205) 247-5302.

Contact Information

Primary practice address
100 Rice Mine Road Loop Ste 301 Tuscaloosa AL 35406-2417
Phone: (205) 247-5302
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 1-079436 Alabama

Profile Details

NPI number 1790883429
LBN Legal business name Cooper, Jenna Renea
Credentials CRNP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 20th, 2006
Last updated Dec 5th, 2023 - about last year

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 1790883429 NPPES
Alabama Other 515-31544 BLUECROSS/BLUESHIELD
Alabama MEDICAID 891010700 BLUECROSS/BLUESHIELD
Alabama Other 515-31417 BLUECROSS/BLUESHIELD
Alabama Other 515-33037 BLUECROSS/BLUESHIELD
Alabama MEDICAID 891010760 BLUECROSS/BLUESHIELD
Alabama MEDICAID 891011330 BLUECROSS/BLUESHIELD
Alabama Other 515-32587 BLUECROSS/BLUESHIELD
Alabama Other 51532435 BLUECROSS/BLUESHIELD
Alabama MEDICAID 891010770 BLUECROSS/BLUESHIELD

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