Individual
JORDAN MARIE COOK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
17187 SCHAEFER HWY, DETROIT, MI 48235-4132
(248) 444-2982
(313) 367-2818
Mailing address
17187 SCHAEFER HWY, DETROIT, MI 48235-4132
(313) 367-2818
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4704404063
MI
363LF0000X
Family Nurse Practitioner
Primary
4704404063
MI
Other
Enumeration date
01/07/2026
Last updated
07/02/2026
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