Search › Georgia › 363LA2200X
Jacqueline Cooper, NP
NPI 1629335906 · on the registry since 2012
Practice
- Address
- 1354 Cleveland Ave
East Point, GA 30344 - Phone
- (404) 763-0405
- Fax
- (404) 763-4223
- Organisation at this address
- Trinity Dialysis Clinic Inc
Inferred from a shared address, not stated in the registry.
Additional practice sites
- 1250 Northmeadow Pkwy Ste 120, Roswell, GA
Registry record
- Primary taxonomy
- 363LA2200X
363LA2200X
- Also registered as
- 363LA2200X
363LA2200X - Licence states on file
- GA, NJ, PA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2026-06-22
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia