Individual
JESSICA LYNN COOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
1307 FEDERAL ST, SUITE 304, PITTSBURGH, PA 15212-4769
(412) 359-3682
(412) 359-8541
Mailing address
1307 FEDERAL ST, SUITE 304, PITTSBURGH, PA 15212-4769
(412) 359-3682
(412) 359-8541
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
SP017381
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103296546
—
PA
Enumeration date
04/04/2017
Last updated
06/12/2017
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