Individual
AMY RENE COOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
2857 W WASHINGTON ST, STEPHENVILLE, TX 76401-3706
(254) 965-5273
Mailing address
2857 W WASHINGTON ST, STEPHENVILLE, TX 76401-3706
(254) 965-5273
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
581787
TX
363LF0000X
Family Nurse Practitioner
Primary
1006430
TX
Other
Enumeration date
11/06/2020
Last updated
12/20/2020
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