Individual
MRS. ELLEN MCLAURIN COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
2313 MURCHISON RD, FAYETTEVILLE, NC 28301-3517
(919) 544-6318
(919) 544-6336
Mailing address
3613A RAEFORD RD, FAYETTEVILLE, NC 28304-2113
(910) 483-1493
(910) 920-4212
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
201472
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
201472
STATE LICENSE #
NC
05
—
7004084
—
NC
Enumeration date
12/28/2005
Last updated
06/24/2025
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