Individual
JENNIFER HUME COOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
106 HIGHLAND WAY STE 203, MADISON, MS 39110-6933
(601) 200-3376
(601) 853-2975
Mailing address
5959 S SHERWOOD FOREST BLVD, BATON ROUGE, LA 70816-6038
(601) 200-3376
(225) 765-9196
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
903684
MS
363LF0000X
Family Nurse Practitioner
Primary
905600
MS
Other
Enumeration date
11/05/2020
Last updated
11/06/2024
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