Individual
JANICE LYNN COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1440 E SHERMAN BLVD, MUSKEGON, MI 49444-1878
(231) 672-2008
(231) 672-2009
Mailing address
PO BOX 1847, MUSKEGON, MI 49443-1847
(231) 727-4444
(231) 727-4451
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
118402
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2829001
—
MI
01
—
500876463
BCBSM
MI
Enumeration date
06/13/2006
Last updated
09/23/2013
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