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NPI Code Detail

MEDICARE: JENNIFER COOLEY

MEDICARE: JENNIFER COOLEY
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
13747P1801XPersonal Care Attendant
2225C00000XRehabilitation Counselor

General Provider Information

NPI Number : 1992052260
Entity Type Code : Individual
Provider Name (Legal Business Name) : JENNIFER COOLEY
Provider Business Mailing Address
First Line : 500 N RAINBOW BLVD STE 300
Second Line :
City : LAS VEGAS
State : NV
Zip : 89107-1061
Country : US
Telephone Number : 702-448-8145
Fax Number :
Provider Business Practice Location Address
First Line : 500 N RAINBOW BLVD STE 300
Second Line :
City : LAS VEGAS
State : NV
Zip : 89107-1061
Country : US
Telephone Number : 702-448-8145
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/06/2012
Last Update Date : 12/28/2023

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Directions to “ JENNIFER COOLEY ” Practice Location

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