Provider Demographics
NPI:1770694168
Name:COOPER, MEGAN MCNISH (NP)
Entity type:Individual
Prefix:
First Name:MEGAN
Middle Name:MCNISH
Last Name:COOPER
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:1310 24TH AVE S
Mailing Address - Street 2:111-H
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37212-2637
Mailing Address - Country:US
Mailing Address - Phone:615-873-6027
Mailing Address - Fax:615-873-8691
Practice Address - Street 1:1310 24TH AVE S
Practice Address - Street 2:111-H
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37212-2637
Practice Address - Country:US
Practice Address - Phone:615-873-6027
Practice Address - Fax:615-873-8691
Is Sole Proprietor?:No
Enumeration Date:2006-08-31
Last Update Date:2016-07-12
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TN0000006823363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care