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Individual

CARISSA BETH COOPER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP

Contact information

Practice address
100 LANTANA RD STE 202, CROSSVILLE, TN 38555
(931) 484-5141
(865) 374-2074
Mailing address
100 LANTANA RD STE 202, CROSSVILLE, TN 38555-1903
(931) 484-5141
(865) 374-2074

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
18311
TN
364SA2200X
Adult Health Clinical Nurse Specialist
734121
TX
364SA2200X
Adult Health Clinical Nurse Specialist
CNS-00214
NM

Other

Enumeration date
01/20/2009
Last updated
11/26/2024
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