# NORTHERN PSYCHIATRY, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1720992811
- **Authorized official:** JESSE COOPER APRN (MANAGING MEMBER)
- **Authorized official phone:** (907) 302-3924

## Contact information

- **Practice address:** 991 S HERMON RD STE 6, WASILLA, AK 99654-7385
- **Practice address phone:** (907) 302-3924
- **Practice address fax:** (907) 931-6140
- **Mailing address:** 2521 E MOUNTAIN VILLAGE DR STE B916, WASILLA, AK 99654-7373
- **Mailing address phone:** (907) 302-3924
- **Mailing address fax:** (907) 931-6140

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LF0000X | Family Nurse Practitioner | — | NULL | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |

## Other

- **Enumeration date:** 09/28/2026
- **Last updated:** 10/06/2026