Individual
JESSE FAYE COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
1981 E PALMER WASILLA HWY STE 200, WASILLA, AK 99654-7287
(907) 202-7711
Mailing address
PO BOX 879749, WASILLA, AK 99687-9749
(907) 952-8944
(907) 519-6493
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
164536
AK
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
164536
AK
Other
Enumeration date
09/16/2020
Last updated
04/21/2025
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