person
Justin R Cooper, NP
Acute Care Nurse Practitioner in Columbus, Indiana
NPI 1710121959

Justin R Cooper is an Acute Care Nurse Practitioner based in Chicago, IN and is specialized in Acute Care. Justin R Cooper practices in Columbus, IN and has the professional credentials of NP. The NPI Number for Justin R Cooper is 1710121959 and holds a License No. 71003003A (Indiana).

The current practice location address for Justin R Cooper is 2400 17Th St, Columbus, IN and can be reached out via phone at 812-376-5757 and via fax at 812-376-5058. You can also correspond with Justin R Cooper through the mailing address at PO BOX 775383, CHICAGO, IL - 60677-5383 (mailing address contact number: 812-376-5315).

Location: 2400 17Th St, Columbus, IN, 60677-5383
person
Provider Profile Details
NPI Number
1710121959
Provider Name
Justin R Cooper
Credential
NP
Provider Entity Type
Individual
Gender
Male
Address
2400 17Th St, Columbus, IN, 60677-5383
Phone Number
812-376-5757
Fax Number
812-376-5058
Provider Enumeration Date
04/30/2009
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
201112920 05 IN
institution
Provider Business Practice Location Address Details
Address
2400 17Th St
City
State
Zip
47201-5351
Phone Number
812-376-5757
Fax Number
812-376-5058
person
Provider Business Mailing Address Details
Address
Po Box 775383
City
State
Zip
60677-5383
Phone Number
812-376-5315
Fax Number
812-375-3477
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Acute Care
Taxonomy
License No.
71003003A (Indiana)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Critical Care Medicine
Taxonomy
License No.
71003003A (Indiana)
Definition
Definition to come...
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