MEDICARE: JEAN COOPER

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
1	163WH0200X	Home Health Registered Nurse	1103208-30	WI

General Provider Information

NPI Number	:	1073467346
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JEAN COOPER

Provider Business Mailing Address
First Line	:	9726 WATTS RD APT 303
Second Line	:
City	:	VERONA
State	:	WI
Zip	:	53593-8219
Country	:	US
Telephone Number	:	608-291-3623
Fax Number	:

Provider Business Practice Location Address
First Line	:	2217 8TH AVE APT 3
Second Line	:
City	:	MONROE
State	:	WI
Zip	:	53566-3207
Country	:	US
Telephone Number	:	608-291-3623
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/24/2026
Last Update Date	:	02/24/2026

Similar Medicare Providers

1912330424 — EXTENDED CARE PORTFOLIO TENANT, LLC
Practice Location Address:

3207 N MONROE ST
TALLAHASSEE, FL
32303-2832

Practice Phone: 850-562-4123
Practice Fax:

1538698162 — BRIGHTON M PATRICK NP
Practice Location Address:

2151 W SPRING ST STE B200
MONROE, GA
30655-3207

Practice Phone: 770-267-0724
Practice Fax: 770-267-0718

1104419878 — MRS. LAUREN ERIS BARNETT RN
Practice Location Address:

2151 W SPRING ST STE B200
MONROE, GA
30655-3207

Practice Phone: 770-267-0724
Practice Fax: 770-267-0718

1477205185 — KATE ANN BREINER NP
Practice Location Address:

2151 W SPRING ST STE B200
MONROE, GA
30655-3207

Practice Phone: 770-267-0724
Practice Fax: 706-353-2992

1619756483 — NORTHSTAR SENIOR LIVING, INC.
Practice Location Address:

3207 N MONROE ST
TALLAHASSEE, FL
32303-2832

Practice Phone: 850-562-4123
Practice Fax:

1104787670 — LORI VANDEKERCKHOVE
Practice Location Address:

3207 N MONROE ST
TALLAHASSEE, FL
32303-2832

Practice Phone: 850-562-4123
Practice Fax: 850-562-5895

Directions to “ JEAN COOPER ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.