Individual
JARED COOPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PMHNP
Contact information
Practice address
12703 SADDLE CLUB CIR APT 201, TAMPA, FL 33635-9688
(727) 249-5108
Mailing address
12703 SADDLE CLUB CIR APT 201, TAMPA, FL 33635-9688
(727) 249-5108
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
RN9615950
FL
Other
Enumeration date
02/05/2026
Last updated
02/05/2026
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