MRS. JANE M COOPER (NPI# 1790776722) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790776722 |
| Entity Type | Individual |
| Full Name | MRS. JANE M COOPER |
| Credential | N.P. |
| Practice Address |
1189 Tibwin Road Mcclellanville SC 29458-9405 |
| Mailing Address |
P.o. Box 608 Mcclellanville SC 29458-0608 |
| Practice Telephone | 8438873274 |
| Practice Fax Number | 8438873929 |
| Mailing Telephone | 8438873274 |
| Mailing Fax Number | 8438873929 |
| Enumeration Date | 2005-10-31 |
| Last Update Date | 2017-08-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
F3048 | SC | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | 0364690 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053595116 | Jane Cooper | Registered Nurse | Nuttall Middle School, Route 60, Lookout, WV 25868 | 2007-12-26 |
| 1093891327 | Jane Roberta Cooper | Counselor | 120 College Street, 600 Plaza Middlesex, Middletown, CT 06457-3426 | 2006-10-30 |
| 1396730677 | Jane M Cooper | Nurse Practitioner | 812 N Keene St, Columbia, MO 65201-6633 | 2005-09-13 |
| 1154450104 | Jane C Cooper | Social Worker | 175 W 13th St, 1a, New York, NY 10011-7855 | 2007-03-05 |
| 1871532085 | Jane Cooper | Internal Medicine | 4500 San Pablo Rd S, Jacksonville, FL 32224-1865 | 2006-06-05 |
| 1699736470 | Jane Frances Cooper | Nurse Practitioner | 7500 Central Ave, Suite 200, Philadelphia, PA 19111-2430 | 2006-03-31 |
| 1356314066 | Jane D Cooper | Internal Medicine | 1625 Straits Tpke, Suite #301, Middlebury, CT 06762-1836 | 2006-02-12 |
| Street Address |
1189 TIBWIN ROAD |
| City | MCCLELLANVILLE |
| State | SC |
| Zip Code | 29458-9405 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174607360 | Alfred J Daniels | Family Medicine | 1189 Tibwin Road, Mcclellanville, SC 29458-9405 | 2006-10-24 |
| 1912007105 | Jarrod Reynolds | Internal Medicine | 1189 Tibwin Road, Mcclellanville, SC 29458-9405 | 2006-09-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588061865 | Debra Elizabeth Erich | Nurse Practitioner | 580 Romain Road, Mcclellanville, SC 29458 | 2014-12-02 |
| 1558480764 | Sandra Reid Bigelow | Dentist | 832 Pinckney St., Mcclellanville, SC 29458 | 2007-03-28 |
| 1578620084 | Mcclellanville Pharmacy Inc. | Pharmacy | 10035 Highway 17 North, Mcclellanville, SC 29458 | 2007-01-03 |
| 1750320305 | Joseph Deer Thomas Jr. | Emergency Medicine | 606 R Pinckney Street, Mc Clellanville, SC 29458 | 2006-06-06 |
| 1881012904 | Roper Saint Francis Physicians Network | Family Medicine | 631 Venning St, Mc Clellanville, SC 29458 | 2014-04-05 |
| 1457416687 | Gail J Guzzo | Pharmacist | 815 Pinckney Street, Mcclellanville, SC 29458-0368 | 2006-12-27 |
| 1598830598 | James E. Fulcher | Family Medicine | 631 Venning St, Mc Clellanville, SC 29458-0699 | 2006-11-22 |
| 1366767683 | St. James-santee Family Health Center Inc. | Clinic/Center | 8900 N Highway 17, Mc Clellanville, SC 29458-7408 | 2010-03-30 |
| 1467897157 | Isla Ruth Merritt | Registered Nurse | 8900 N Highway 17, Mc Clellanville, SC 29458-7408 | 2013-05-08 |
| 1588618441 | St. James-santee Family Health Center Inc. | Clinic/Center | 1189 Tibwin Rd, Mc Clellanville, SC 29458-9405 | 2006-05-22 |
| Find all providers in zip 29458 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588061865 | Debra Elizabeth Erich | Nurse Practitioner | 580 Romain Road, Mcclellanville, SC 29458 | 2014-12-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417557737 | Diondra Johnson | Nurse Practitioner | 2327 Watchtower Ln, Charleston, SC 29414-7803 | 2020-10-27 |
| 1740888262 | Gerri Kukucka | Nurse Practitioner | 18 Ash Ct, Irmo, SC 29063-9584 | 2020-10-16 |
| 1407454853 | William Andrew Haislip | Nurse Practitioner | 109 Anita St, Greer, SC 29651-3814 | 2020-10-16 |
| 1912505652 | Mattison Williams Craig | Nurse Practitioner | 108 Woodstock Ln, Greer, SC 29650-3918 | 2020-10-14 |
| 1669079901 | Kelley Brown Davis | Nurse Practitioner | 2689 Us-1, Elgin, SC 29045 | 2020-10-08 |
| 1518564897 | Erica Odom Mccumbers | Nurse Practitioner | 17 Downing Cir, Gilbert, SC 29054-8483 | 2020-10-08 |
| 1285231845 | Shannon Marie Dunlap | Nurse Practitioner | 3792 Home Branch Rd, Manning, SC 29102-4109 | 2020-10-07 |
| 1588261325 | Crystal Leopard | Nurse Practitioner | 328 Deer Creek Rd, Easley, SC 29640-7615 | 2020-10-05 |
| 1497352595 | Margaret Ann Regnery | Nurse Practitioner | 900 Island Park Dr Ste 104, Daniel Island, SC 29492-7560 | 2020-10-02 |
| 1417564709 | John P Rainchuso | Nurse Practitioner | 299 Three Runs Creek Way, Aiken, SC 29803-1680 | 2020-09-30 |
| Find all providers with the same taxonomy | ||||
| City | MCCLELLANVILLE |
| Zip Code | 29458 |
Please comment or provide details below to improve the information on MRS. JANE M COOPER.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.