| NPI | 1760108377 |
|---|---|
| Former Name | JESSICA SARAH COOK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA 61410145) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OR 202007707RN) |
| 363LF0000X Nurse Practitioner, Family (Licence: OR 10006008) | |
| Enumeration Date | 2022-10-14 |
| Last Update Date | 2023-04-17 |