Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207V00000X | Obstetrician & Gynecologist | 43726 | CO |
NPI | 1003801671 |
---|---|
Provider Name | Dr. Jennifer Lynn Cooper |
First Address | Westminster, CO 80023-9206 |
Second Address | Westminster, CO 80023-9206 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/09/2005 |
Last Update Date | 18/03/2015 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
40480780 | (05) | CO |