National Provider Identifier

Jerrica Cooper

Jerrica 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) 285-1582.

NPI 1912412859Rochester, NYLicensed Practical Nurse

Profile Overview

NPI
1912412859
Provider Type
Individual
Primary Specialty
Licensed Practical Nurse
Enumeration Date
December 13, 2017
Last Updated
December 13, 2017

Practice Location

  • 69 Hillendale St
  • Rochester, NY 14619-1609

Phone: (585) 285-1582

Mailing Address

  • PO Box 30093
  • Rochester, NY 14603-3093

Specialties

  • Licensed Practical Nurse (164W00000X)
Full Record
NPI
1912412859
Entity Type
Individual
Last Name
Cooper
First Name
Jerrica
Mailing Street Address
PO Box 30093
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14603-3093
Mailing Country
US
Mailing Phone
(585) 285-1582
Practice Street Address
69 Hillendale St
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14619-1609
Practice Country
US
Practice Phone
(585) 285-1582
Practice Fax
(585) 285-1582
Enumeration Date
December 13, 2017
Last Updated
December 13, 2017
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Licensed Practical Nurse (164W00000X)