Individual provider · Type 1 NPI
Nicole Cooper
Nursing Home Administrator · Hephzibah, GA
NPI number
1346915907
Active
Practice location
4825 Jasmine Way
Hephzibah, GA 30815-5874
Mailing address
2059 Clark St
Augusta, GA 30904-3067
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nursing Home Administrator Primary | 376G00000X | None listed |
Nursing Home Administrator: An individual, often licensed by the state, who is responsible for the management of a nursing home.
Another provider at this address
About NPI 1346915907
Nicole Cooper's National Provider Identifier is 1346915907, issued on Aug 14, 2021. The primary taxonomy on file is Nursing Home Administrator (376G00000X), and the practice location is in Hephzibah, GA. The record was last updated on Aug 14, 2021.