Provider Demographics
NPI:1336934694
Name:COOPER, JOYCE A
Entity type:Individual
Prefix:
First Name:JOYCE
Middle Name:A
Last Name:COOPER
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11600 GLENN DALE BLVD APT 2364
Mailing Address - Street 2:
Mailing Address - City:GLENN DALE
Mailing Address - State:MD
Mailing Address - Zip Code:20769-9071
Mailing Address - Country:US
Mailing Address - Phone:202-290-6792
Mailing Address - Fax:
Practice Address - Street 1:3000 7TH ST NE APT 123
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20017-1402
Practice Address - Country:US
Practice Address - Phone:301-740-6171
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-09
Last Update Date:2025-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant