Provider Demographics
NPI:1487123428
Name:COOPER, APRIL RENEE (APRN)
Entity type:Individual
Prefix:MRS
First Name:APRIL
Middle Name:RENEE
Last Name:COOPER
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4230 HOSPITAL DR STE 101
Mailing Address - Street 2:
Mailing Address - City:MARIANNA
Mailing Address - State:FL
Mailing Address - Zip Code:32446-1927
Mailing Address - Country:US
Mailing Address - Phone:850-526-6707
Mailing Address - Fax:850-718-2887
Practice Address - Street 1:4230 HOSPITAL DR STE 101
Practice Address - Street 2:
Practice Address - City:MARIANNA
Practice Address - State:FL
Practice Address - Zip Code:32446-1927
Practice Address - Country:US
Practice Address - Phone:850-526-6707
Practice Address - Fax:850-718-2887
Is Sole Proprietor?:No
Enumeration Date:2018-11-20
Last Update Date:2021-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAPRN11000188363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Multi-Specialty