Cooper, Mikayla Emerald

Cooper, Mikayla Emerald is an individual health care provider with primary practice located at 4300 Marsh Landing Blvd # 100 , Jacksonville Beach FL 32250-1416. She recently has only one registered license in Dietary & Nutritional Service Providers / Dietitian, Registered, which is considered as her primary health care specialty. Cooper, Mikayla Emerald can be contacted via phone (904) 947-0531.

Contact Information

Primary practice address
4300 Marsh Landing Blvd # 100 Jacksonville Beach FL 32250-1416
Phone: (904) 947-0531
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X

Profile Details

NPI number 1518616374
LBN Legal business name Cooper, Mikayla Emerald
Credentials Registered Dietitian (RD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 21st, 2022
Last updated Mar 21st, 2022 - about 2 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.

Request for update

Popular Providers