Individual
MRS. ANNA COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
WHNP, AGNP-C
Contact information
Practice address
100 MEDICAL PARK DR, STARKVILLE, MS 39759-4477
(662) 323-4427
Mailing address
100 MEDICAL PARK DR, STARKVILLE, MS 39759-4477
(662) 323-4427
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
901415
MS
Other
Enumeration date
04/18/2016
Last updated
04/18/2016
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