Individual
MISS TAMMY LYVONNE COOPER
Active
Individual
MISS TAMMY LYVONNE COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN-C
Taxonomy
Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
26NR11441600
NJ
163WP0808X
Psychiatric/Mental Health Registered Nurse
26NR11441600
NJ
363LA2200X
Adult Health Nurse Practitioner
Primary
26NJ00372800
NJ
363LA2200X
Adult Health Nurse Practitioner
NP500005960
DC
363LA2200X
Adult Health Nurse Practitioner
R233355
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0325279
—
NJ
Enumeration date
04/03/2007
Last updated
12/21/2023
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