Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VF0040X | Female Pelvic Medicine and Reconstructive Surgeon | E-14916 | AR |
NPI | 1043624232 |
---|---|
Provider Name | Jennifer Afton Cooper |
First Address | Little Rock, AR 72205-5417 |
Second Address | Little Rock, AR 72205-5417 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/06/2014 |
Last Update Date | 31/12/2021 |