Individual provider · NPI-1

Alexis Jo Cooper

Physician Assistant · Coon Rapids, MN

NPI number1003747940
StatusActive
Last updated in NPPESMay 28, 2026

Details

NPI
1003747940
Entity type
Individual (NPI-1)
Name
Alexis Jo Cooper
Sex
Female
Sole proprietor
No
Enumeration date
May 28, 2026
Certification date
May 28, 2026
Last updated
May 28, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363A00000X Physician Assistant–MNYes

Practice location

4050 Coon Rapids Blvd Nw
Coon Rapids, MN 55433-2522

Phone 763-236-6000

Mailing address

4300 Marketpointe Dr Ste 100
Bloomington, MN 55435-5435

Phone 952-835-9880

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