Stacy Jo Cooley
Chore Provider in Grand Island, NE. Individual provider (NPI-1).
NPI number1972309672
StatusActive
Last updated in NPPESFeb 22, 2025
Details
- NPI
- 1972309672
- Entity type
- Individual (NPI-1)
- Name
- Stacy Jo Cooley
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Feb 22, 2025
- Certification date
- Feb 22, 2025
- Last updated
- Feb 22, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 372500000X | Chore Provider | – | – | Yes |
Practice location
2627 Saint Patrick AveGrand Island, NE 68803-1308
Phone 308-379-8294
Mailing address
2627 Saint Patrick AveGrand Island, NE 68803-1308
Phone 308-379-8294
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All 21 Chore Provider providers in Grand Island · All 2,898 providers in Grand Island
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