# JARED COOPER

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1124516661
- **Gender:** Man
- **Credential:** NP

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363L00000X | Nurse Practitioner | 0024186982 | VA | Yes |
| 363LA2100X | Acute Care Nurse Practitioner | 179606 | GA | — |

## Other

- **Enumeration date:** 04/30/2018
- **Last updated:** 10/08/2025