Female

Jackqueline Cooper

In Home Supportive Care Agency in Memphis, TN(View on Map)

Full Name

Jackqueline Cooper

NPI Number

1851772560

NPI Type

Individual Provider

Gender

Female

Enumeration Date

06/18/2015

Specialties

(Taxonomies)

Code

253Z00000X

Primary Taxonomy

Yes

Contact
Information

Purpose

Mailing
Location

Address

2552 POPLAR AVE
2552 POPLAR AVE

City

Memphis
Memphis

State

TN
TN

Postal Code

38112-3852
38112-3852

Country

US
US

Telephone Number

(901) 409-2849
(901) 409-2849

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 06/18/2015

Provider Address

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