Individual provider · Type 1 NPI

Jacquelyn Cooper

Licensed Practical Nurse · Hillside, IL

NPI number 1124667621 Active

Practice location

230 N Lind Ave
Hillside, IL 60162-1538

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X043081911 (IL)

Licensed Practical Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

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About NPI 1124667621

Jacquelyn Cooper's National Provider Identifier is 1124667621, issued on Dec 31, 2019. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Hillside, IL. The record was last updated on Dec 31, 2019.