Individual provider · Type 1 NPI
Jesse Faye Cooper, FNP-C, PMHNP-BC
Psychiatric/Mental Health Nurse Practitioner · Wasilla, AK
NPI number
1366058224
Active
Practice location
991 S Hermon Rd Ste 6
Wasilla, AK 99654-7385
Fax (907) 931-6140
Mailing address
2521 E Mountain Village Dr Ste B916
Wasilla, AK 99654-7373
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 164536 (AK) |
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 164536 (AK) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
Another provider at this address
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About NPI 1366058224
Jesse Faye Cooper, FNP-C, PMHNP-BC's National Provider Identifier is 1366058224, issued on Sep 16, 2020. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Wasilla, AK. The record was last updated on Oct 6, 2026.