Organization
DIVERSIFIED NURSING SERVICES, INC.
Active
Other names
Lisa B. Cooper, CFNP
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LISA B COOPER CFNP (PRESIDENT)
(662) 251-4055
Entity
Organization
Contact information
Practice address
505 JACKSON ST, ABERDEEN, MS 39730-3349
(662) 369-6431
(662) 369-6473
Mailing address
770 N WOLFE RD, CALEDONIA, MS 39740-9763
(662) 251-4055
(662) 304-4002
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R826442
MS
Other
Enumeration date
11/22/2006
Last updated
08/22/2020
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