Individual
MRS. CRYSTAL S COOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CFNP
Contact information
Practice address
225 COMMUNITY DRIVE, FAYETTE, MS 39069-0098
(601) 786-3475
(601) 786-9980
Mailing address
PO BOX 98, FAYETTE, MS 39069-0098
(601) 786-3475
(601) 786-9980
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
R855632
MS
Other
Enumeration date
11/03/2008
Last updated
09/01/2011
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