# JUANITA COOPER

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1679376156
- **Gender:** F
- **Credential:** RN, MSN, PMHNP-BC

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163W00000X | Registered Nurse | L1-0072762 | DE | — |
| 163W00000X | Registered Nurse | RN730597 | PA | — |
| 246RP1900X | Phlebotomy Technician | PTC-7744 | PA | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | L8-0010778 | DE | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | SP032378 | PA | — |

## Other

- **Enumeration date:** 03/31/2025
- **Last updated:** 08/05/2025