Individual
LETISHA HUGHES COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2076 VETERANS PKWY, CLAYTON, NC 27520-5302
(919) 553-5711
Mailing address
4705 UNIVERSITY DR BLDG 700, DURHAM, NC 27707-3489
(919) 237-1337
(866) 538-4716
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-16352
NC
363A00000X
Physician Assistant
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
11/06/2024
Last updated
04/27/2026
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