DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JACEY COOPER

Active Sole Proprietor

Medical Physician Assistant · WILLIAMSBURG, KY

Registration Details

NPI Number
1689486458
Provider Type
Individual
Gender
Female
NPI Issued
Jan 21, 2025 (1.2490922257484 yrs)
Last Updated
Jan 6, 2026
Sole Proprietor
Yes

Practice Information

Address
475 N HIGHWAY 25 W STE 100
WILLIAMSBURG, KY, 407691576
Browse KY providers · Browse ZIP 40769
Phone
6065492930
Primary Specialty
Medical Physician Assistant
363AM0700X

Other Medical Physician Assistant Providers in WILLIAMSBURG, KY

Name Credential NPI
MS. JENNIFER L. HARRINGTON PA-C 1720081565
PAUL C HENSON P.A.C 1134200223
MRS. KARI NATASHA MCKNIGHT PAC 1912128125
MRS. LESLEY ANNE TIPTON PA-C 1861767600
MR. AARON DEWAYNE PETREY PA-C 1710525944
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.