Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | A129467 | CA |
N | 2080P0216X | Pediatric Rheumatologist | A129467 | CA |
Y | 2080P0216X | Pediatric Rheumatologist | DR.0060229 | CO |
NPI | 1992022255 |
---|---|
Provider Name | Dr. Jennifer Claire Cooper |
First Address | Aurora, CO 80042-0429 |
Second Address | Aurora, CO 80045 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/04/2010 |
Last Update Date | 27/08/2018 |