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

Kim Cooper, NP

Individual provider Nurse Practitioner · NPI 1750316881

Kim Cooper, NP is a Nurse Practitioner in Jackson, Mississippi. Qualified in 2002, 24 years ago. Practices with Central Mississippi Civic Improvement Association, Inc, a 50-clinician group and accepts Medicare assignment. Licensed in Mississippi.

Years since qualifying
24
Licensed in
MS
In the registry since
2006
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

5903 Ridgewood Rd Ste 310
Jackson, MS 39211-3702
Phone: (601) 899-3310
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence R639893 (MS)

Record details

NPI number1750316881
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorNo
NPI enumeratedJuly 11, 2006
Last updated in NPPESJune 25, 2010

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2002 (24 years in practice)
Group practice Central Mississippi Civic Improvement Association, Inc — 50 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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