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Dr. Jimmy Cooper JR., DHA,FNP-C
Family Nurse Practitioner in Portsmouth, Virginia
NPI 1205123171

Jimmy Cooper JR. is a Family Nurse Practitioner based in Portsmouth, VA and is specialized in Family. Jimmy Cooper JR. practices in Portsmouth, VA and has the professional credentials of DHA,FNP-C. The NPI Number for Jimmy Cooper JR. is 1205123171 and holds a License No. 0024169299 (Virginia).

The current practice location address for Jimmy Cooper JR. is 3520 High St Ste 100, Portsmouth, VA and can be reached out via phone at 757-338-4012.

Location: 3520 High St Ste 100, Portsmouth, VA, 23707-3126
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1205123171
Provider Name
Jimmy Cooper JR.
Credential
DHA,FNP-C
Provider Entity Type
Individual
Gender
Male
Address
3520 High St Ste 100, Portsmouth, VA, 23707-3126
Phone Number
757-338-4012
Fax Number
Provider Enumeration Date
06/29/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
3520 High St Ste 100
City
Portsmouth
State
Virginia
Zip
23707-3126
Phone Number
757-338-4012
Fax Number
person
Provider Business Mailing Address Details
Address
3520 High St Ste 100
City
Portsmouth
State
Virginia
Zip
23707-3126
Phone Number
757-338-4012
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
0024169299 (Virginia)
Definition
Definition to come...
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