Individual
SANDRA COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
15120 COUNTY BARN RD, GULFPORT, MS 39503-4263
(228) 213-5900
Mailing address
4100 MAMIE ST, HATTIESBURG, MS 39402-1735
(601) 705-1901
(601) 705-1952
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
726613
MS
Other
Enumeration date
08/19/2025
Last updated
08/19/2025
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