Cooper, Jessica Rose

Cooper, Jessica Rose is an individual health care provider with primary practice located at 6438 Wilmington Pike Ste 300 , Centerville OH 45459-7021. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Women's Health, which is considered as her primary health care specialty. Cooper, Jessica Rose can be contacted via phone (937) 848-4850.

Contact Information

Primary practice address
6438 Wilmington Pike Ste 300 Centerville OH 45459-7021
Phone: (937) 848-4850
Fax: (937) 848-4858
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Women's Health 363LW0102X COA.10960 NP Ohio
Physician Assistants & Advanced Practice Nursing Providers / Women's Health 364SW0102X APRN.CNP.10960 Ohio

Profile Details

NPI number 1548581218
LBN Legal business name Cooper, Jessica Rose
Credentials Certified Nurse Practitioner (CNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 17th, 2010
Last updated Jan 25th, 2024 - 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 1548581218 NPPES
Ohio MEDICAID 3055232

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