Organization
COOPER JOHNSON NP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LYNN COOPER JOHNSON NP (OWNER)
(928) 243-1770
Entity
Organization
Contact information
Practice address
815 N MAIN STREET, TAYLOR, AZ 85939
(928) 536-4322
(928) 536-2395
Mailing address
PO BOX 889, OVERGAARD, AZ 85933-0889
(928) 535-6667
(928) 535-5561
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP5735
AZ
Other
Enumeration date
10/01/2014
Last updated
10/01/2014
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