Cooper Johnson NP LLC

Organization Active NPI Family Nurse Practitioner · Taylor, AZ

NPI 1114320405 · NPPES record last updated Oct 1, 2014

Key facts

NPI
1114320405
Entity type
Organization (NPI type 2)
Primary specialty
Family Nurse Practitioner 363LF0000X
License
AP5735 (AZ)
Legal business name
COOPER JOHNSON NP LLC
Practice address
815 N Main Street
Taylor, AZ 85939
Phone
(928) 536-4322
Fax
(928) 536-2395
NPI assigned
Oct 1, 2014
Organization subpart
No

Authorized official

Name
Mr. Lynn Cooper Johnson, NP
Title
Owner
Phone
(928) 243-1770

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner
Group: 193400000X SINGLE SPECIALTY GROUP
363LF0000X AP5735 AZ Yes

Addresses

Primary practice location

815 N Main Street
Taylor, AZ 85939

Mailing address

PO Box 889
Overgaard, AZ 85933-0889
Phone (928) 535-6667

Other providers in Taylor, AZ

All providers in Taylor, AZ · Family Nurse Practitioner in Arizona

Sources for this page

Verify at the official NPI Registry.