Individual provider · Type 1 NPI

Mary Ellen Cooper, PMHNP

Psychiatric/Mental Health Nurse Practitioner · Charlottesville, VA

NPI number 1467181743 Active

Practice location

310 Old Ivy Way
Charlottesville, VA 22903-4896

Fax (434) 243-6970

Mailing address

PO Box 749112
Atlanta, GA 30374-9112

Specialties and licenses

TaxonomyCodeLicense
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808X0024183234 (VA)

Psychiatric/Mental Health Nurse Practitioner: Definition to come...

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About NPI 1467181743

Mary Ellen Cooper, PMHNP's National Provider Identifier is 1467181743, issued on Jun 10, 2022. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Charlottesville, VA. The record was last updated on Sep 21, 2026.