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Organization
NORTHERN PSYCHIATRY, LLC
Active
Organization
NORTHERN PSYCHIATRY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JESSE COOPER APRN (MANAGING MEMBER)
(907) 302-3924
Entity
Organization
Contact information
Practice address
991 S HERMON RD STE 6, WASILLA, AK 99654-7385
(907) 302-3924
(907) 931-6140
Mailing address
2521 E MOUNTAIN VILLAGE DR STE B916, WASILLA, AK 99654-7373
(907) 302-3924
(907) 931-6140
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
—
NULL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
NULL
Other
Enumeration date
09/28/2026
Last updated
10/06/2026
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