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

Octavia Cooper, BSN, RN

Individual provider Case Management Registered Nurse · NPI 1104192236

Octavia Cooper, BSN, RN is a Case Management Registered Nurse in Philadelphia, Pennsylvania. Licensed in Pennsylvania. Registered with an NPI since 2012.

Licensed in
PA
In the registry since
2012
What do these letters mean?
BSN — Bachelor of Science in Nursing
A four-year nursing degree.
RN — Registered Nurse
A licensed nurse who completed a nursing degree and passed the NCLEX-RN examination.

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Practice location Address checks out

1930 S Broad St
Philadelphia, PA 19145-2328
Phone: (215) 339-4343
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Case Management Registered Nurse (primary) Taxonomy 163WC0400X · Licence RN-322666L (PA)

Record details

NPI number1104192236
Entity typeIndividual (Type 1)
GenderFemale
Credentials BSN , RN
Sole proprietorNo
NPI enumeratedMarch 22, 2012
Last updated in NPPESMarch 22, 2012

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