| Jeniesha Cooper, LPN | |
|
1607 Barrington Vw, Stone Mountain, GA 30087-1846 | |
| (678) 582-9317 | |
| (678) 705-3735 |
| Full Name | Jeniesha Cooper |
|---|---|
| Gender | Female |
| Speciality | Licensed Practical Nurse |
| Location | 1607 Barrington Vw, Stone Mountain, Georgia |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992447023 | NPI | - | NPPES |
| 003258912A | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 164W00000X | Licensed Practical Nurse | 27072457A (Georgia) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Jeniesha Cooper, LPN 1607 Barrington Vw, Stone Mountain, GA 30087-1846 Ph: (678) 582-9317 | Jeniesha Cooper, LPN 1607 Barrington Vw, Stone Mountain, GA 30087-1846 Ph: (678) 582-9317 |
Ms. Trenese Cox, LPN Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 7304 Tree Mountain Pkwy, Stone Mountain, GA 30083 Phone: 678-973-9135 | |
Brandi Weddle, LPN Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 1607 Barrington Vw, Stone Mountain, GA 30087 Phone: 678-582-9317 | |
Kalyn Prescott, LPN Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 1607 Barrington Vw, Stone Mountain, GA 30087 Phone: 678-582-9317 | |
Tywona Mckenzie, LPN Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 1607 Barrington Vw, Stone Mountain, GA 30087 Phone: 678-582-9317 | |
Latore Williams, Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 5300 Ridge Forest Drive, Stone Mountain, GA 30083 Phone: 404-399-7713 | |
Danielle Leandrea Moore, LPN Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 1491 Hidden Hills Pkwy, Stone Mountain, GA 30088 Phone: 703-861-9358 Fax: 770-695-0282 | |
Wanda Faye Edwards, LPN Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 5666 Longbow Dr, Stone Mountain, GA 30087 Phone: 954-305-1262 |