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

Jennifer Cooper

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1093686545

Jennifer Cooper is a Nurse Practitioner in Simpsonville, South Carolina. Qualified in 2025, 1 year ago. Licensed in South Carolina.

Years since qualifying
1
Licensed in
SC
In the registry since
2025
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Practice location Address checks out

512 Bethany Rd
Simpsonville, SC 29681-4202
Phone: (864) 231-2000
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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 31558 (SC)

Record details

NPI number1093686545
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 17, 2025
Last updated in NPPESFebruary 17, 2026
Certification dateFebruary 17, 2026
Mailing address512 Bethany Rd, Simpsonville, SC 29681-4202

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Accepts Medicare assignment Not indicated

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