Individual provider · Type 1 NPI

Jacey Cooper

Medical Physician Assistant · Williamsburg, KY

NPI number 1689486458 Active

About NPI 1689486458

Jacey Cooper's National Provider Identifier is 1689486458, issued on Jan 21, 2025. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Williamsburg, KY. The record was last updated on Jul 20, 2026.