Individual provider · Type 1 NPI

Dedra Dawn Coop, ARNP

Nurse Practitioner · Fort Myers, FL

NPI number 1740779701 Active

Practice location

13300 S Cleveland Ave Ste 56
Fort Myers, FL 33907-3871

Fax (239) 244-2118

Mailing address

4403 E 19th St
Lehigh Acres, FL 33972-1400

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000XARNP9301536 (FL)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1740779701

Dedra Dawn Coop, ARNP's National Provider Identifier is 1740779701, issued on May 5, 2018. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Fort Myers, FL. The record was last updated on Oct 3, 2022.