JARED COOPER

MACON, GA
NPI1124516661
Professional NameJARED COOPER
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: VA  0024186982)
Additional Taxonomies363LA2100X Nurse Practitioner, Acute Care
(Licence: GA  179606)
Enumeration Date2018-04-30
Last Update Date2025-10-08
Business Address
JARED COOPER NP
777 HEMLOCK ST
MACON, GA 31201-2102
Phone number: 478-633-1000
Mailing Address
JARED COOPER NP
120 HICKSVILLE RD
BETHPAGE, NY 11714-3443
Phone number: 516-717-1839