Individual
STACIE COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
143 WHITE OAK TRL, SUITE 2, WARRIOR, AL 35180-5736
(205) 647-1819
Mailing address
5187 STONEHAVEN DR, BIRMINGHAM, AL 35244-3454
(205) 283-1033
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
1106944
AL
Other
Enumeration date
09/12/2016
Last updated
09/12/2016
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