Individual
KENDRA JORDAN COOK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN/NP
Contact information
Practice address
123 WEAVER RD STE B, BLAIRSVILLE, GA 30512-3155
(706) 835-3699
Mailing address
35 HOSPITAL RD, BLAIRSVILLE, GA 30512-3139
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN236809
GA
Other
Enumeration date
08/15/2023
Last updated
08/15/2023
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