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

Jaclyn J Cooper, APN

Individual provider Family Nurse Practitioner · NPI 1851697197

Jaclyn J Cooper, APN is a Nurse Practitioner in Conway, Arkansas. Qualified in 2009, 17 years ago. Practices with Pain Treatment Centers of America PLLC, a 72-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Arkansas.

Years since qualifying
17
Licensed in
AR
In the registry since
2011
What do these letters mean?
APN — Advanced Practice Nurse
The umbrella title some states use for nurse practitioners and other advanced practice nurses.

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Practice location Address checks out

2425 Dave Ward Dr Ste 601
Conway, AR 72034-8686
Phone: (501) 773-6993
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 108 N Shackleford Rd, Little Rock, AR 72211-2840 — (501) 712-2571

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence A03480 (AR)

Record details

NPI number1851697197
Entity typeIndividual (Type 1)
GenderFemale
Credentials APN
Sole proprietorNo
NPI enumeratedFebruary 3, 2011
Last updated in NPPESApril 5, 2022
Certification dateApril 5, 2022
Mailing address108 N Shackleford Rd, Little Rock, AR 72211-2840

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Group practice Pain Treatment Centers Of America Pllc — 72 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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