NPI | 1467853879 |
---|---|
Former Name | JAMIE SHEREE COOK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KY 3008933) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KY 1099455) |
Enumeration Date | 2014-09-05 |
Last Update Date | 2023-03-07 |