Individual provider · Type 1 NPI

Anna Cooper

Nurse Practitioner · Grenada, MS

NPI number 1083589477 Active

Practice location

340 Van Dorn St Ste A
Grenada, MS 38901-4738

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X907830 (MS)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1083589477

Anna Cooper's National Provider Identifier is 1083589477, issued on Oct 7, 2025. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Grenada, MS. The record was last updated on Oct 7, 2025.