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NPI Profile for Dr JIMMY COOPER JR in CHESAPEAKE, VA.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Family |
363LF0000X | 50 | Nurse Practitioner |
| NPI # | 1205123171 |
|
| Status | Active | |
| Credentials | DHA, FNP-C | |
| Entity | Individual | |
| Enumeration date | 06/29/2011 | |
| Last updated | 01/21/2022 - About 4 years ago | |
| Sole proprietor 1 | No | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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JIMMY COOPER JR
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JIMMY COOPER JR, DHA, FNP-C