MR. Jackson Cooper
NPI #1043056757 in Jackson, Mississippi
Provider Information
- NPI Number
- 1043056757
- Entity Type
- Individual
- Name
- MR. Jackson Cooper
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Nurse Practitioner - Family
- Enumeration Date
- Jul 2, 2024
- Last Updated
- Jul 2, 2024
Practice Location
- Address
- 971 LAKELAND DR STE 1052
- City
- Jackson
- State
- Mississippi
- ZIP Code
- 39216-4609
- Phone
- (601) 981-9503
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Family — Family |
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