CHARLES P. COOLEY FNP NPI 1508855255

NPI Information

  • NPI: 1508855255
  • Provider Name: CHARLES P. COOLEY, FNP
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • Address: 807 UNIVERSITY PARKWAY
    ROY S NICKS HALL, ROOM 160
    JOHNSON CITY, TN
    ZIP 37614
  • Phone: (423) 439-4225

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NPI Details

Charles P. Cooley, FNP is a family nurse practitioner in Johnson City, TN. Charles P. Cooley, FNP NPI is 1508855255. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

807 UNIVERSITY PARKWAY
ROY S NICKS HALL, ROOM 160
JOHNSON CITY, TN
ZIP 37614-113
Phone: (423) 439-4225
Fax: (423) 439-4560

The enumeration date for this NPI number is 10/17/2005 and was last updated on 2/19/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LF0000XNurse PractitionerFamily104366NORTH CAROLINANo
2363LF0000XNurse PractitionerFamilyAPN0000013655TENNESSEEYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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