Kooker, Jennifer

Kooker, Jennifer is an individual health care provider with primary practice located at 350 Pee Dee Ave , Albemarle NC 28001-4900. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Kooker, Jennifer can be contacted via phone (704) 986-1500.

Contact Information

Primary practice address
350 Pee Dee Ave Albemarle NC 28001-4900
Phone: (704) 986-1500
Fax: (704) 983-3919
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X 043544 New York
Behavioral Health & Social Service Providers / Clinical 1041C0700X C005902 North Carolina

Profile Details

NPI number 1174648547
LBN Legal business name Kooker, Jennifer
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 21st, 2007
Last updated Jan 22nd, 2009 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1174648547 NPPES
North Carolina MEDICAID 6007161

Popular Providers