Individual
JERE N COOPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
10090 MEDLOCK BRIDGE RD, JOHNS CREEK, GA 30097-4428
(470) 482-6508
Mailing address
10090 MEDLOCK BRIDGE RD, JOHNS CREEK, GA 30097-4428
(470) 482-6508
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
RN234545
GA
Other
Enumeration date
11/25/2019
Last updated
03/21/2020
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