Individual
DR. JIMMY COOPER JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DHA, FNP-C
Contact information
Practice address
3520 HIGH ST STE 100, PORTSMOUTH, VA 23707-3126
(757) 338-4012
Mailing address
3520 HIGH ST STE 100, PORTSMOUTH, VA 23707-3126
(757) 977-9675
(757) 483-8099
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0024169299
VA
Other
Enumeration date
06/29/2011
Last updated
01/21/2022
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