Individual
KATHRYN J COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
6263 POPLAR AVE, SUITE 1032, MEMPHIS, TN 38119-4701
(901) 761-3255
(901) 761-3257
Mailing address
2986 KATE BOND RD, BARTLETT, TN 38133-4003
(901) 820-7750
(901) 820-7712
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APN 12096
TN
363LA2100X
Acute Care Nurse Practitioner
200088
OK
Other
Enumeration date
07/20/2006
Last updated
01/29/2021
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