Individual
CLINT COOKSEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP-C
Contact information
Practice address
187 NINTH ST, JENA, LA 71342-3900
(318) 992-9200
Mailing address
3721 HIGHWAY 459, JENA, LA 71342-6461
(318) 312-0943
(318) 992-9245
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP08337
LA
Other
Enumeration date
06/17/2015
Last updated
06/17/2015
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