Cooper, Jada

Cooper, Jada is an sole proprietor health care provider with primary practice located at 715-A Division Street , Biloxi MS 39530. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Cooper, Jada can be contacted via phone (228) 374-4991.

Contact Information

Primary practice address
715-A Division Street Biloxi MS 39530
Phone: (228) 374-4991
Fax: (228) 374-0856
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X R859997 Mississippi
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X R859997 Mississippi

Profile Details

NPI number 1124095914
LBN Legal business name Cooper, Jada
Credentials Certified Family Nurse Practitioner (CFNP)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 1st, 2006
Last updated Nov 1st, 2011 - about 13 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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Identifiers

StateTypeNumberIssuer
All States NPI 1124095914 NPPES
Mississippi MEDICAID 00126712

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