Individual
DR. JORDAN ALEXANDER COOPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DNP, RN, FNP-BC
Contact information
Practice address
10010 KENNERLY RD, SAINT LOUIS, MO 63128-2106
(314) 525-1000
Mailing address
3522 HEATHER TRAILS DR, FLORISSANT, MO 63031-1215
(314) 724-6084
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2021025674
MO
Other
Enumeration date
11/24/2021
Last updated
02/03/2026
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