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NPI Code Detail

MEDICARE: JEAN COOLE PMHNP

MEDICARE:   JEAN  COOLE  PMHNP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LP0808XPsychiatric/Mental Health Nurse PractitionerRN170133AZ

General Provider Information

NPI Number : 1649128497
Entity Type Code : Individual
Provider Name (Legal Business Name) : JEAN COOLE PMHNP
Provider Business Mailing Address
First Line : 2875 W RAY RD STE 6-317
Second Line :
City : CHANDLER
State : AZ
Zip : 85224-3524
Country : US
Telephone Number : 480-818-4787
Fax Number :
Provider Business Practice Location Address
First Line : 3131 W PEORIA AVE
Second Line :
City : PHOENIX
State : AZ
Zip : 85029-5226
Country : US
Telephone Number : 833-568-0473
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/18/2026
Last Update Date : 05/29/2026

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