Individual
DONNA G COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
4624 N DAVIS HWY, PENSACOLA, FL 32503-2337
(850) 494-0000
(850) 494-0001
Mailing address
4624 N DAVIS HWY, PENSACOLA, FL 32503-2337
(850) 494-0000
(850) 494-0001
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
1042752
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
308204100
—
FL
Enumeration date
05/18/2006
Last updated
08/31/2022
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