Anna Cooper
Individual provider Active NPI Nurse Practitioner · Grenada, MS
NPI 1083589477 · NPPES record last updated Oct 7, 2025
Key facts
- NPI
- 1083589477
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- 907830 (MS)
- Practice address
- 340 Van Dorn St Ste a
Grenada, MS 38901-4738 - Phone
- (662) 226-0325
- NPI assigned
- Oct 7, 2025
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 907830 | MS | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Stepp-Saver, Inc. | Current | Accepting new patients | |
| Stepp-Saver, Inc | Current | Accepting new patients | |
| Childrens Health Clinic | Single Specialty | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner |
363L00000X | 907830 | MS | Yes |
Addresses
Primary practice location
340 Van Dorn St Ste a
Grenada, MS 38901-4738
Mailing address
340 Van Dorn St Ste a
Grenada, MS 38901-4738
Phone (662) 226-0325
Other providers in Grenada, MS
- Sherry B Chrestman
- CMHP Enterprises
- John Henry Coleman
- Andrea Jemae Collins
- Community Care Center of Grenada, LLC
- Covenant Cove Care LLC
- Laurie Lynn Crain
- Wallace Edgar Cresswell
- Betsy Cummings
- Robyn Richardson Dalton
All providers in Grenada, MS · Nurse Practitioner in Mississippi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 7, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.