Individual
JOSHUA AARON COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
F.N.P.
Contact information
Practice address
4120 BRADFORD HICKS DR, LIVINGSTON, TN 38570-2213
(931) 823-5603
(931) 403-0574
Mailing address
4120 BRADFORD HICKS DR, LIVINGSTON, TN 38570-2213
(931) 823-5603
(931) 403-0574
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
13113
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13113
LICENSE
TN
05
—
1516097
—
TN
05
—
7100148060
—
KY
Enumeration date
01/14/2008
Last updated
04/20/2018
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