Jessica Rose Cooper, CNP | |
6438 Wilmington Pike Ste 300, Centerville, OH 45459-7021 | |
(937) 848-4850 | |
(937) 848-4858 |
Full Name | Jessica Rose Cooper |
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Gender | Female |
Speciality | Clinical Nurse Specialist - Women's Health |
Location | 6438 Wilmington Pike Ste 300, Centerville, Ohio |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1548581218 | NPI | - | NPPES |
3055232 | Medicaid | OH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LW0102X | Nurse Practitioner - Women's Health | COA.10960 NP (Ohio) | Secondary |
364SW0102X | Clinical Nurse Specialist - Women's Health | APRN.CNP.10960 (Ohio) | Primary |
Entity Name | Kettering Independent Medical Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1629387865 PECOS PAC ID: 3173710936 Enrollment ID: O20101207000425 |
Mailing Address | Practice Location Address |
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Jessica Rose Cooper, CNP 1 Prestige Pl Ste 550, Miamisburg, OH 45342-6115 Ph: (937) 762-1310 | Jessica Rose Cooper, CNP 6438 Wilmington Pike Ste 300, Centerville, OH 45459-7021 Ph: (937) 848-4850 |
Mrs. Linda Ann Pettit, CLINICAL NURSE SPECI Clinical Nurse Specialist Medicare: Accepting Medicare Assignments Practice Location: 180 E Spring Valley Rd, B, Centerville, OH 45458 Phone: 937-291-1351 Fax: 937-291-1719 | |
Mrs. Carmen Michelle Gustafson, ANP Clinical Nurse Specialist Medicare: Accepting Medicare Assignments Practice Location: 1989 Miamisburg Centerville Rd, Centerville, OH 45459 Phone: 937-528-6890 | |
Rachel Jo Perretta, MS, RN, ACNS-BC Clinical Nurse Specialist Medicare: Accepting Medicare Assignments Practice Location: 2350 Miami Valley Dr Ste 500, Centerville, OH 45459 Phone: 937-293-1622 Fax: 937-245-6308 | |
Mr. Mark A Curtis, CNS Clinical Nurse Specialist Medicare: Not Enrolled in Medicare Practice Location: 180 E Spring Valley Rd, Ste B, Centerville, OH 45458 Phone: 937-291-1351 Fax: 937-291-1719 |