Individual provider · Type 1 NPI

Jenna Tantalo-Cooper

Licensed Practical Nurse · Rochester, NY

NPI number 1184388183 Active

Practice location

35 Sharon Drive
Rochester, NY 14626

Mailing address

35 Sharon Dr
Rochester, NY 14626-2014

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X330009-01 (NY)

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 1184388183

Jenna Tantalo-Cooper's National Provider Identifier is 1184388183, issued on Oct 26, 2021. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Rochester, NY. The record was last updated on Oct 26, 2021.