Individual provider · Type 1 NPI

Charles Derick Cooper, NP

Nurse Practitioner · Gun Barrel City, TX

NPI number 1124728779 Active

Practice location

126 W Main St
Gun Barrel City, TX 75156-5403

Mailing address

4224 Vz County Road 2112
Wills Point, TX 75169-7786

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner 363LF0000X1112062 (TX)
Nurse Practitioner Primary 363L00000X1112062 (TX)

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 1124728779

Charles Derick Cooper, NP's National Provider Identifier is 1124728779, issued on Mar 2, 2023. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Gun Barrel City, TX. The record was last updated on Dec 20, 2023.