Melissa Lynn Cooper

Licensed Practical Nurse · Bloomington, IL

Individual Active NPI

NPI number 1649713009

Practice location

1003 Martin Luther King Dr
Bloomington, IL 61701-1429
Phone
(309) 820-3535

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NPI record

NPI
1649713009
Entity type
Individual (Type 1)
Enumeration date
December 2, 2016
Last updated
December 2, 2016
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Licensed Practical Nurse Primary 164W00000X 043105401 IL

Mailing address

2285 Elwood Ln
Normal, IL 61761-5467

About Melissa Cooper

Melissa Lynn Cooper is a healthcare provider registered in the NPI registry with the primary taxonomy Licensed Practical Nurse (code 164W00000X). The practice location is 1003 Martin Luther King Dr, Bloomington, IL 61701-1429. The NPI number 1649713009 was assigned on December 2, 2016 and the record was last updated on December 2, 2016.

Melissa Cooper lists a license in the registry: #043105401 (IL) for Licensed Practical Nurse. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Melissa Lynn Cooper?

The NPI number is 1649713009.

What is the phone number of Melissa Cooper?

The phone number listed for the practice location is (309) 820-3535.

Where is Melissa Cooper located?

1003 Martin Luther King Dr, Bloomington, IL 61701-1429.

What is the taxonomy code for Melissa Cooper?

The primary taxonomy code is 164W00000X – Licensed Practical Nurse.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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