Individual
JENNIFER KAYE COOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1618 S MILLENIUM WAY, MERIDIAN, ID 83642-6439
(208) 884-3376
(208) 884-0858
Mailing address
1618 S MILLENIUM WAY, MERIDIAN, ID 83642-6439
(208) 884-3376
(208) 884-0858
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
NP-1525A
ID
Other
Enumeration date
12/03/2012
Last updated
08/10/2022
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