SORELLE NICOLE JONES COOPER (NPI# 1205146362) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205146362 |
| Entity Type | Individual |
| Full Name | SORELLE NICOLE JONES COOPER |
| Credential | FNP |
| Practice Address |
4130 Hunt Pl Ne Washington DC 20019-3565 |
| Practice Telephone | 2023888160 |
| Practice Fax Number | 2023888746 |
| Mailing Telephone | 2023888160 |
| Mailing Fax Number | 2023888746 |
| Enumeration Date | 2010-10-07 |
| Last Update Date | 2013-09-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
R183786 | MD | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
4130 HUNT PL NE |
| City | WASHINGTON |
| State | DC |
| Zip Code | 20019-3565 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750362463 | Yolanda Eugenia Klemmer | Nurse Practitioner | 4130 Hunt Pl Ne, Washington, DC 20019-3565 | 2005-11-09 |
| 1609409374 | Alexis W De'sert | Counselor | 4130 Hunt Pl Ne, Washington, DC 20019-3565 | 2020-02-20 |
| 1164064705 | Ghislaine Kenmegne Datouo Mogo | Nurse Practitioner | 4130 Hunt Pl Ne, Washington, DC 20019-3565 | 2019-10-15 |
| 1174180814 | Beverly Diana Gholston | Social Worker | 4130 Hunt Pl Ne, Washington, DC 20019-3565 | 2019-05-28 |
| 1376008037 | Justina Adeti | Social Worker | 4130 Hunt Pl Ne, Washington, DC 20019-3565 | 2019-02-07 |
| 1770080483 | Emmanuel Kamdem-sango | Nurse Practitioner | 4130 Hunt Pl Ne, Washington, DC 20019-3565 | 2018-04-09 |
| 1619475175 | Bashirr Sheriff | Social Worker | 4130 Hunt Pl Ne, Washington, DC 20019-3565 | 2018-01-30 |
| 1790209203 | Marie Lum | Home Health Aide | 4130 Hunt Pl Ne, Washington, DC 20019-3565 | 2017-07-27 |
| 1871014340 | Rosaline Nkemasong Asonganyi | Home Health Aide | 4130 Hunt Pl Ne, Washington, DC 20019 | 2017-07-05 |
| 1427584614 | Debra Hickson | Home Health Aide | 4130 Hunt Pl Ne, Washington, DC 20019-3565 | 2017-05-07 |
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| 1255985776 | Kemba Kelton | Technician | 3204 1/2 East Capitol Street Nw, Washington, DC 20019 | 2019-08-01 |
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| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
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| Find all providers in WASHINGTON | ||||
| City | WASHINGTON |
| Zip Code | 20019 |
Please comment or provide details below to improve the information on SORELLE NICOLE JONES COOPER.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.