Individual
BRANDY NICOLE COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
291 W MAIN ST, LAMAR, AR 72846-8195
(479) 703-5000
(870) 895-2164
Mailing address
4196 HIGHWAY 62 412 STE A, HARDY, AR 72542-8002
(870) 856-1202
(870) 856-2107
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
216171
AR
Other
Enumeration date
07/13/2021
Last updated
07/13/2021
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