Individual provider · Type 1 NPI

Ivory D. Cooley, RN

Registered Nurse · Freeport, IL

NPI number 1104020825 Active

Practice location

701 W Lamm Rd
Freeport, IL 61032-9630

Fax (815) 233-6167

Mailing address

515 N Hardin Ave
Freeport, IL 61032-3212

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse Primary 163W00000XNone listed

Registered Nurse: (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient…

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About NPI 1104020825

Ivory D. Cooley, RN's National Provider Identifier is 1104020825, issued on Jun 14, 2007. The primary taxonomy on file is Registered Nurse (163W00000X), and the practice location is in Freeport, IL. The record was last updated on Jul 8, 2007.