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Individual

TAMIKA ALISHIA COOKE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
AGPCNP-C

Contact information

Practice address
1012 MISSISSIPPI AVE, CLEWISTON, FL 33440-5511
(863) 254-7363
Mailing address
PO BOX 824, CLEWISTON, FL 33440-0824
(863) 254-7363

Taxonomy

Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
APRN11018391
FL

Other

Enumeration date
03/03/2022
Last updated
10/10/2023
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