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Individual
JARED COOPER
Active
Individual
JARED COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
0024186982
VA
363LA2100X
Acute Care Nurse Practitioner
179606
GA
Other
Enumeration date
04/30/2018
Last updated
10/08/2025
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