Jennica Cool, is a
Licensed Practical Nurse based in Clarksville, Michigan. Jennica Cool is licensed to practice in Michigan (license number 4703080567) and her current practice location is
10123 Hastings Rd, Clarksville, Michigan. She can be reached at her office (for appointments etc.) via phone at
(616) 427-2503.
NPI number for Jennica Cool is 1811556285 and her current mailing address is 10123 Hastings Rd, Clarksville, Michigan. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1811556285.
Provider's Profile
| Full Name | Jennica Cool |
|---|
| Gender | Female |
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| Speciality | Licensed Practical Nurse |
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| Location | 10123 Hastings Rd, Clarksville, Michigan |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1811556285
- Provider Enumeration Date: 06/10/2019
- Last Update Date: 06/10/2019
Medical Identifiers
Medical identifiers for Jennica Cool such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1811556285 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 164W00000X | Licensed Practical Nurse | 4703080567 (Michigan) | 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. Jennica Cool 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 |
|---|
Jennica Cool,
10123 Hastings Rd,
Clarksville, MI 48815-9754
Ph: () - | Jennica Cool,
10123 Hastings Rd,
Clarksville, MI 48815-9754
Ph: (616) 427-2503 |
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