Individual
ANNA COOPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
340 VAN DORN ST STE A, GRENADA, MS 38901-4738
(662) 226-0325
Mailing address
340 VAN DORN ST STE A, GRENADA, MS 38901-4738
(662) 226-0325
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
907830
MS
Other
Enumeration date
10/07/2025
Last updated
10/07/2025
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