KRYSTA MYCHAL COOPER APRN, CNP - NPI 1346728730 - Nurse Practitioner in Jamestown, OH

Q: What is the provider's specialty?

The provider's specialty is Nurse Practitioner with taxonomy code 363LF0000X and a focus in Family.

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About Krysta Mychal Cooper Aprn, Cnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KRYSTA MYCHAL COOPER APRN, CNP (NPI 1346728730) is an individual family provider in Jamestown, Ohio, licensed in Ohio (APRN.CNP.023461) and active in the NPI registry since July 2018.

NPPES Registry Identity

NPI1346728730

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameKRYSTA MYCHAL COOPERCredential: APRN, CNP

Location Address4790 COTTONVILLE RDJamestown, OH 45335-1518

Mailing Address4790 Cottonville RdJamestown, OH 45335-1518 · (937) 675-2870 · Fax (937) 675-2873

Phone(937) 675-2870

Fax(937) 675-2873

Sole ProprietorNo

Enumeration DateJuly 30, 2018

Last NPPES UpdateDecember 2, 20204 updates tracked since enumeration

NPPES CertifiedDecember 2, 2020

✔ NPI 1346728730 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in OH · APRN.CNP.023461

Also ListedFamily MedicineTaxonomy 207Q00000X · License LE-00024808 (OH)

4790 COTTONVILLE RD, Jamestown, OH 45335

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Other Identifiers 1

Medicaid0315026OH

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MARCIA WILLIAMS CNP

Nurse Practitioner (Family)