Cooper, Carissa Beth

Cooper, Carissa Beth is an individual health care provider with primary practice located at 100 Lantana Rd Ste 202 , Crossville TN 38555. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Adult Health, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Cooper, Carissa Beth can be contacted via phone (931) 484-5141.

Contact Information

Primary practice address
100 Lantana Rd Ste 202 Crossville TN 38555
Phone: (931) 484-5141
Fax: (865) 374-2074
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 364SA2200X CNS-00214 New Mexico
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 364SA2200X 734121 Texas
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 18311 Tennessee

Profile Details

NPI number 1396982914
LBN Legal business name Cooper, Carissa Beth
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 20th, 2009
Last updated Jul 26th, 2019 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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