Individual provider · Type 1 NPI

Jackie Cooper

Specialist · Fort Collins, CO

NPI number 1013425941 Active

Practice location

3938 John F Kennedy Pkwy Unit 11C
Fort Collins, CO 80525-3087

Call (970) 227-6184 Map

Mailing address

6132 Tilden St
Fort Collins, CO 80528-7117

Other practice locations

  • 1136 E Stuart St, Fort Collins, CO 80525-1195 · (970) 482-1317

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XNone listed

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1013425941

Jackie Cooper's National Provider Identifier is 1013425941, issued on Jan 12, 2018. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Fort Collins, CO. The record was last updated on Mar 17, 2018.