| Doctor Name: | MS. ARLEN DAVIS COOPER |
| NPI Number: | 1992712244 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | FPMHNP |
| License Number: | R704253 |
| Business Practice Address: | 123 Mccomb Ave Port Gibson, MS - 391502915 |
| Business Phone Number: | 6014375141 |
| Business Fax Number: | |
| Mailing Address: | 114 Linda Dr, VICKSBURG |
| State: | MS |
| Postal Code: | 391808909 |
| Phone Number: | 6016388361 |
| Fax Number: | |
| NPI Enumeration Date: | 08/01/2006 |
| NPI Last Update Date: | 07/09/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LP0808X |
| License Number: | R704253 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MS |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Psych/Mental Health |
| Taxonomy Definition: | |