Individual provider · Type 1 NPI
Melissa Lynn Cooper
Licensed Practical Nurse · Bloomington, IL
NPI number
1649713009
Active
Practice location
1003 Martin Luther King Dr
Bloomington, IL 61701-1429
Mailing address
2285 Elwood Ln
Normal, IL 61761-5467
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Licensed Practical Nurse Primary | 164W00000X | 043105401 (IL) |
Licensed Practical Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
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About NPI 1649713009
Melissa Lynn Cooper's National Provider Identifier is 1649713009, issued on Dec 2, 2016. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Bloomington, IL. The record was last updated on Dec 2, 2016.