Individual
SHAKEMA JOSEY COOPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP-BC
Contact information
Practice address
92 TOMMY STALNAKER DR, WARNER ROBINS, GA 31088-9179
(478) 333-2522
Mailing address
92 TOMMY STALNAKER DR, WARNER ROBINS, GA 31088-9179
(478) 333-2522
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN204858
GA
Other
Enumeration date
01/23/2021
Last updated
03/31/2021
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