Individual
JUANITA COOPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, MSN, PMHNP-BC
Contact information
Practice address
2519 GERMANTOWN AVE APT 214B, PHILADELPHIA, PA 19133-1645
(484) 350-5311
Mailing address
2519 GERMANTOWN AVE APT 214B, PHILADELPHIA, PA 19133-1645
(484) 350-5311
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
L1-0072762
DE
163W00000X
Registered Nurse
RN730597
PA
246RP1900X
Phlebotomy Technician
PTC-7744
PA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
L8-0010778
DE
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
SP032378
PA
Other
Enumeration date
03/31/2025
Last updated
08/05/2025
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