Individual
MRS. DAWN CHAREL COOPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
A.P.R.N., CNP
Contact information
Practice address
6600 S YALE AVE STE 1400, TULSA, OK 74136-3331
(882) 247-0125
(918) 502-8001
Mailing address
6655 S YALE AVE, TULSA, OK 74136-3326
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
109541
OK
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
200091
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200949980A
—
OK
Enumeration date
01/12/2019
Last updated
05/14/2021
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