NPI 1346915907

Nicole Cooper

Practitioner Nursing Home Administrator Hephzibah, GA

Practice location

Address: 4825 Jasmine Way, Hephzibah, GA 30815-5874
Phone: (706) 836-0979
Mailing address: 2059 Clark St, Augusta, GA 30904-3067

Registered specialties

Nursing Home Administrator Primary

Nursing Service Related Providers Taxonomy 376G00000X

Other Nursing Home Administrator providers in Georgia →

Registry record

NPI: 1346915907
Entity type: Individual
Sex (as registered): Female
NPI issued: 14 Aug 2021
Record last updated: 14 Aug 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.