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Jesse Cooper
Student in an Organized Health Care Education/Training Program in Joplin, Missouri
NPI 1225603319

Jesse Cooper is a Student in an Organized Health Care Education/Training Program based in Prairie Village, MO. Jesse Cooper practices in Joplin, MO. The NPI Number for Jesse Cooper is 1225603319 and holds a License No. (Missouri).

The current practice location address for Jesse Cooper is 1102 W 32Nd St, Joplin, MO and can be reached out via phone at 417-347-5665.

Location: 1102 W 32Nd St, Joplin, MO, 66208-2454
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1225603319
Provider Name
Jesse Cooper
Credential
Provider Entity Type
Individual
Gender
Male
Address
1102 W 32Nd St, Joplin, MO, 66208-2454
Phone Number
417-347-5665
Fax Number
Provider Enumeration Date
05/21/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1102 W 32Nd St
City
Joplin
State
Missouri
Zip
64804-3503
Phone Number
417-347-5665
Fax Number
person
Provider Business Mailing Address Details
Address
1102 W 32Nd St
City
Joplin
State
Missouri
Zip
64804-3503
Phone Number
417-347-5665
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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