Individual
MRS. DEBRA ANN COOPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN, FNP-C
Contact information
Practice address
7301 HENNESSY BLVD STE 3D, BATON ROUGE, LA 70808-4793
(225) 526-4060
Mailing address
8164 KINGVIEW ST, SAINT JAMES, LA 70086-7523
(225) 806-5021
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F03190056
LA
Other
Enumeration date
03/07/2019
Last updated
03/07/2019
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