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

Victoria L Cooper, FNP

Individual provider Family Nurse Practitioner · NPI 1063120152

Victoria L Cooper, FNP is a Nurse Practitioner in Southern Pines, North Carolina. Qualified in 2022, 4 years ago. Practices with Legacy Healthcare Services Inc, a 3,624-clinician group, accepts Medicare assignment and offers telehealth. Licensed in North Carolina.

Years since qualifying
4
Licensed in
NC
In the registry since
2022
What do these letters mean?
FNP — Family Nurse Practitioner
A nurse practitioner who treats patients of all ages, much like a family doctor.

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Practice location Address checks out

200 Pavilion Way
Southern Pines, NC 28387-4561
Phone: (910) 246-4140
Fax: (865) 381-1509
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 5020102 (NC)

Record details

NPI number1063120152
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP
Sole proprietorNo
NPI enumeratedNovember 8, 2022
Last updated in NPPESJanuary 28, 2025
Certification dateJanuary 28, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Legacy Healthcare Services Inc — 3624 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

Other providers in Southern Pines