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Contact Information

JADA COOPER, CFNP
715-A DIVISION STREET
BILOXI, MS39530
 Phone: 228-374-4991
 Fax: 228-374-0856
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nurse Practitioner

363L00000X 50 Nurse Practitioner
 

Family

363LF0000X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for JADA COOPER · (Female)

NPI # 1124095914
Status Active
Credentials CFNP
Entity Individual
Enumeration date 03/01/2006
Last updated 11/01/2011 - About 15 years ago
Sole proprietor 1 Yes
Identifiers
  • MS License # R859997
  • MS Medicaid 00126712
Hospital affiliation(s)
  • MEMORIAL HOSPITAL AT GULFPORT - (Acute Care)
    4500 13TH ST-P O BOX 1810
    GULFPORT, MS 39502
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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