Individual provider · Type 1 NPI
Stacy Renee Cooper, NP
Family Nurse Practitioner · Columbus, GA
NPI number
1720844061
Active
Practice location
5529 Rodgers Dr
Columbus, GA 31909-5426
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | 216057 (GA) |
| Family Nurse Practitioner Primary | 363LF0000X | 216057 (GA) |
Family Nurse Practitioner: Definition to come...
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About NPI 1720844061
Stacy Renee Cooper, NP's National Provider Identifier is 1720844061, issued on Feb 26, 2024. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Columbus, GA. The record was last updated on Dec 30, 2024.