Pamela Lynn Cooper
Nurse Practitioner - Psychiatric/Mental Health
12734 Kenwood Ln Suite 84
Fort Myers
, Florida 33907-5666
Pamela Lynn Cooper
Nurse Practitioner - Psychiatric/Mental Health
12734 Kenwood Ln Suite 84
Fort Myers
, Florida 33907-5666
(866) 936-5250
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About
Features
Specialties
- Nurse Practitioner - Psychiatric/Mental Health
Languages spoken
- English
Location
First Address
- Pamela Lynn Cooper
- 12734 Kenwood Ln Suite 84
- Fort Myers, FL
- Zip : 33907-5666
- Phone : (866) 936-5250
Second Address
- Pamela Lynn Cooper
- 12734 Kenwood Ln Suite 84
- Fort Myers, FL
- Zip : 33907-5666
- Phone : (866) 936-5250
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LP0808X | Nurse Practitioner - Psychiatric/Mental Health | 4704209177 | MI |
National Provider Identifier
| NPI | 1003072349 |
|---|---|
| Provider Name | Pamela Lynn Cooper |
| First Address | Fort Myers, FL 33907-5666 |
| Second Address | Fort Myers, FL 33907-5666 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 06/08/2008 |
| Last Update Date | 06/08/2008 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.