| Doctor Name: | STEPHANIE J COOPER |
| NPI Number: | 1285094664 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | CNP |
| License Number: | COA.18703NP |
| Business Practice Address: | 90 Cic Blvd West Union, OH - 456938024 |
| Business Phone Number: | 9345448989 |
| Business Fax Number: | 9375445659 |
| Mailing Address: | 1735 27th St, Waller Bldg Suite B06 PORTSMOUTH |
| State: | OH |
| Postal Code: | 456622677 |
| Phone Number: | 7403568008 |
| Fax Number: | 7403537900 |
| NPI Enumeration Date: | 02/29/2016 |
| NPI Last Update Date: | 03/03/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | COA.18703NP |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OH |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |