Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Chasity Imani Cooper

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1619652112

Chasity Imani Cooper is a Nurse Practitioner in Panama City, Florida. Qualified in 2023, 3 years ago. Practices with Life Management Center of NW Fl, Inc, a 14-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
3
Licensed in
FL
In the registry since
2023
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Practice location Address checks out

525 E 15th St
Panama City, FL 32405-5400
Phone: (850) 522-4485
Fax: (850) 257-7938
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence APRN11026964 (FL)

Record details

NPI number1619652112
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJune 21, 2023
Last updated in NPPESApril 2, 2024
Certification dateApril 2, 2024
Mailing address304 Montclair Dr, Dothan, AL 36301-2933

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Life Management Center Of Nw Fl, Inc. — 14 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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