| Doctor Name: | RUTH DAIL COOPER |
| NPI Number: | 1669527834 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | FNP |
| License Number: | 200147 |
| Business Practice Address: | 340 Seminary St Kenansville, NC - 283490948 |
| Business Phone Number: | 9102962130 |
| Business Fax Number: | |
| Mailing Address: | 1484 Summerlins Crossroad Rd, MOUNT OLIVE |
| State: | NC |
| Postal Code: | 283658588 |
| Phone Number: | 9196589215 |
| Fax Number: | |
| NPI Enumeration Date: | 01/25/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 200147 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NC |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |