Jackie Cooley
NPI #1104231422 in Springfield, Illinois
Provider Information
- NPI Number
- 1104231422
- Entity Type
- Individual
- Name
- Jackie Cooley
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Nurse Anesthetist, Certified Registered
- Enumeration Date
- Jun 25, 2014
- Last Updated
- Jun 25, 2014
Practice Location
- Address
- 800 E CARPENTER ST
- City
- Springfield
- State
- Illinois
- ZIP Code
- 62702-5324
- Phone
- (217) 525-5643
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Anesthetist, Certified Registered |
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