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

Dr. Jimmy Cooper Jr., DHA, FNP-C

Individual provider Family Nurse Practitioner · NPI 1205123171

Dr. Jimmy Cooper Jr., DHA, FNP-C is a Nurse Practitioner in Portsmouth, Virginia. Qualified in 2010, 16 years ago. Practices with Tidewater Mobile Medicine PLLC, a 3-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Virginia.

Years since qualifying
16
Licensed in
VA
In the registry since
2011
What do these letters mean?
FNP-C — Family Nurse Practitioner, Certified
A family nurse practitioner certified by the AANP.

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Practice location Address checks out

3520 High St Ste 100
Portsmouth, VA 23707-3126
Phone: (757) 338-4012
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3001 Churchland Blvd, Chesapeake, VA 23321-5603 — (757) 977-9675

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 0024169299 (VA)

Record details

NPI number1205123171
Entity typeIndividual (Type 1)
GenderMale
Credentials DHA , FNP-C
Sole proprietorNo
NPI enumeratedJune 29, 2011
Last updated in NPPESJanuary 21, 2022
Certification dateJanuary 21, 2022

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2010 (16 years in practice)
Group practice Tidewater Mobile Medicine Pllc — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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