Individual provider · Type 1 NPI
Juanita Cooper, RN, MSN, PMHNP-BC
Psychiatric/Mental Health Nurse Practitioner · Philadelphia, PA
NPI number
1679376156
Active
Practice location
2519 Germantown Ave Apt 214B
Philadelphia, PA 19133-1645
Other practice locations
- 97 E Duval St, Philadelphia, PA 19144-1921 · (484) 350-5311
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | L1-0072762 (DE) |
| Registered Nurse | 163W00000X | RN730597 (PA) |
| Phlebotomy Technician | 246RP1900X | PTC-7744 (PA) |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | SP032378 (PA) |
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | L8-0010778 (DE) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1679376156
Juanita Cooper, RN, MSN, PMHNP-BC's National Provider Identifier is 1679376156, issued on Mar 31, 2025. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Philadelphia, PA. The record was last updated on Aug 5, 2025.