Individual
JOSSELINE COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1200 N ELM ST, GREENSBORO, NC 27401-1004
(336) 402-0240
Mailing address
604 EAGLE RD APT 3D, GREENSBORO, NC 27407-5351
(904) 476-6445
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-10274
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5229086932
FMCSA NATIONAL REGISTRY OF MEDICAL EXAMINERS
—
Enumeration date
12/29/2020
Last updated
11/17/2021
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