Jacqueline Cooper, RN is a
Registered Nurse based in Houston, Mississippi. Jacqueline Cooper is licensed to practice in Mississippi (license number 895548) and her current practice location is
212 Lot1 County Rd 331, Houston, Mississippi. She can be reached at her office (for appointments etc.) via phone at
(662) 542-9440.
NPI number for Jacqueline Cooper is 1023742681 and her current mailing address is 303 County Road 331, Houston, Mississippi. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1023742681.
Provider's Profile
Full Name | Jacqueline Cooper |
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Gender | Female |
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Speciality | Registered Nurse |
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Location | 212 Lot1 County Rd 331, Houston, Mississippi |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1023742681
- Provider Enumeration Date: 07/11/2022
- Last Update Date: 07/11/2022
Medical Identifiers
Medical identifiers for Jacqueline Cooper such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1023742681 | NPI | - | NPPES |
863785168 | Other | MS | MEDICARE |
863785168 | Medicaid | MS | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
163WH0200X | Registered Nurse - Home Health | 895548 (Mississippi) | Secondary |
374U00000X | Home Health Aide | 895548 (Mississippi) | Secondary |
163W00000X | Registered Nurse | 895548 (Mississippi) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jacqueline Cooper is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Jacqueline Cooper, RN 303 County Road 331, Houston, MS 38851-7006 Ph: (662) 542-9440 | Jacqueline Cooper, RN 212 Lot1 County Rd 331, Houston, MS 38851 Ph: (662) 542-9440 |
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