| NPI | 1144616962 |
|---|---|
| Former Name | JENNIFER J COOK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY F307265-01) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY 307265) |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: NY F307265-01) | |
| Enumeration Date | 2015-04-08 |
| Last Update Date | 2023-03-22 |