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 | Nurse Practitioner - 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 |
---|---|---|---|
364SW0102X | Clinical Nurse Specialist - Women's Health | APRN.CNP.10960 (Ohio) | Secondary |
363LW0102X | Nurse Practitioner - 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 |
---|---|
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 |
Brittany Renee Montgomery, CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5400 Cornerstone North Blvd, Centerville, OH 45440 Phone: 937-528-7070 | |
Mr. Benjamin Daniel Malcolm, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1095 S Main St, Centerville, OH 45458 Phone: 937-439-8622 | |
Heather Davis, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2400 Miami Valley Dr, Centerville, OH 45459 Phone: 937-438-2400 | |
Eric Harris, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6611 Clyo Rd, Centerville, OH 45459 Phone: 937-208-8282 | |
Terri M Caputo-jones, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 330 N Main St, Centerville, OH 45459 Phone: 937-435-1445 Fax: 937-439-7552 | |
Alysha Weeter, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 217 Amber Dr, Centerville, OH 45458 Phone: 937-510-4075 | |
Marie Middleton, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7740 Washington Village Dr, Ste 120, Centerville, OH 45459 Phone: 937-439-7411 Fax: 937-433-8030 |