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Jessica Everingham Cooper, DO
Family Medicine Physician in Avon, Indiana
NPI 1780172114

Jessica Everingham Cooper is a Family Medicine Physician based in Indianapolis, IN. Jessica Everingham Cooper practices in Avon, IN and has the professional credentials of DO. The NPI Number for Jessica Everingham Cooper is 1780172114 and holds a License No. (Indiana).

The current practice location address for Jessica Everingham Cooper is 6845 E Us Highway 36 Ste 600, Avon, IN and can be reached out via phone at 317-272-4920.

Location: 6845 E Us Highway 36 Ste 600, Avon, IN, 46219-4959
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1780172114
Provider Name
Jessica Everingham Cooper
Credential
DO
Provider Entity Type
Individual
Gender
Female
Address
6845 E Us Highway 36 Ste 600, Avon, IN, 46219-4959
Phone Number
317-272-4920
Fax Number
Provider Enumeration Date
05/01/2018
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
300014123 05 IN
264430C44 01 IN MEDICARE
PENDING 01 IN STATE LICENSE
institution
Provider Business Practice Location Address Details
Address
6845 E Us Highway 36 Ste 600
City
Avon
State
Indiana
Zip
46123-8132
Phone Number
317-272-4920
Fax Number
person
Provider Business Mailing Address Details
Address
6845 E Us Highway 36 Ste 600
City
Avon
State
Indiana
Zip
46123-8132
Phone Number
317-272-4920
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
02006319A (Indiana)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
person
Provider's Taxonomy Details 2
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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