Individual
SARA COOLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
1507 W QUITMAN ST, IUKA, MS 38852-1132
(662) 423-1000
(662) 423-1316
Mailing address
1507 W QUITMAN ST, IUKA, MS 38852-1132
(662) 423-1000
(662) 423-1316
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R874786
MS
Other
Enumeration date
09/17/2015
Last updated
12/21/2015
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