Cooper, Nancy J

Cooper, Nancy J is an individual health care provider with primary practice located at 1801 E Kenosha St , Broken Arrow OK 74012-2098. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Cooper, Nancy J can be contacted via phone (918) 449-4150.

Contact Information

Primary practice address
1801 E Kenosha St Broken Arrow OK 74012-2098
Phone: (918) 449-4150
Fax: (918) 449-4107
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X R0045211 Oklahoma

Profile Details

NPI number 1316946361
LBN Legal business name Cooper, Nancy J
Credentials APRN-CNP
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 20th, 2005
Last updated May 31st, 2026 - about 5 months 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 1316946361 NPPES
Oklahoma MEDICAID 200006240A

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