Individual
JAMILLE T COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
224D CORNWALL ST NW STE 104, LEESBURG, VA 20176-2700
(703) 779-0699
(703) 779-7712
Mailing address
224-D CORNWALL STREET, NW, SUITE 403, LEESBURG, VA 20176-2704
(703) 737-6010
(703) 443-8643
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
0101241033
VA
208000000X
Pediatrics Physician
MD062805L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1538182100
—
VA
Enumeration date
07/25/2006
Last updated
02/07/2026
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