Individual
JENNIFER S COOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1215 PLEASANT ST, SUITE 300, DES MOINES, IA 50309-1453
(515) 241-6500
(515) 241-8911
Mailing address
1215 PLEASANT ST, SUITE 300, DES MOINES, IA 50309-1453
(515) 241-6500
(515) 241-8911
Taxonomy
Speciality
Code
Description
License number
State
2080P0205X
Pediatric Endocrinology Physician
Primary
26000
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1083609358
—
IA
01
—
175679
MEDICARE
—
05
—
205746605
—
MO
Enumeration date
09/13/2005
Last updated
11/17/2011
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