National Provider Identifier
Jenna Tantalo-Cooper
Jenna Tantalo-Cooper is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Rochester, NY and a listed phone number of (585) 738-5140.
Profile Overview
- NPI
- 1184388183
- Provider Type
- Individual
- Primary Specialty
- Licensed Practical Nurse
- Enumeration Date
- October 26, 2021
- Last Updated
- October 26, 2021
Practice Location
- 35 Sharon Drive
- Rochester, NY 14626
Phone: (585) 738-5140
Mailing Address
- 35 Sharon Dr
- Rochester, NY 14626-2014
Specialties
- Licensed Practical Nurse (164W00000X)
Full Record
- NPI
- 1184388183
- Entity Type
- Individual
- Last Name
- Tantalo-Cooper
- First Name
- Jenna
- Mailing Street Address
- 35 Sharon Dr
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14626-2014
- Mailing Country
- US
- Mailing Phone
- (585) 738-5140
- Practice Street Address
- 35 Sharon Drive
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14626
- Practice Country
- US
- Practice Phone
- (585) 738-5140
- Enumeration Date
- October 26, 2021
- Last Updated
- October 26, 2021
- Sex
- Female
- Sole Proprietor
- Yes
- Certification Date
- October 26, 2021
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Licensed Practical Nurse (164W00000X)