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Jeniesha Cooper, LPN
Licensed Practical Nurse in Stone Mountain, Georgia
NPI 1992447023

Jeniesha Cooper is a Licensed Practical Nurse based in Stone Mountain, GA. Jeniesha Cooper practices in Stone Mountain, GA and has the professional credentials of LPN. The NPI Number for Jeniesha Cooper is 1992447023 and holds a License No. 27072457A (Georgia).

The current practice location address for Jeniesha Cooper is 1607 Barrington Vw, Stone Mountain, GA and can be reached out via phone at 678-582-9317 and via fax at 678-705-3735.

Location: 1607 Barrington Vw, Stone Mountain, GA, 30087-1846
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1992447023
Provider Name
Jeniesha Cooper
Credential
LPN
Provider Entity Type
Individual
Gender
Female
Address
1607 Barrington Vw, Stone Mountain, GA, 30087-1846
Phone Number
678-582-9317
Fax Number
678-705-3735
Provider Enumeration Date
04/09/2022
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
003258912A 05 GA
institution
Provider Business Practice Location Address Details
Address
1607 Barrington Vw
City
Stone Mountain
State
Georgia
Zip
30087-1846
Phone Number
678-582-9317
Fax Number
678-705-3735
person
Provider Business Mailing Address Details
Address
1607 Barrington Vw
City
Stone Mountain
State
Georgia
Zip
30087-1846
Phone Number
678-582-9317
Fax Number
678-705-3735
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Practical Nurse
Speciality
-
Taxonomy
164W00000X
License No.
27072457A (Georgia)
Definition
An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
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