Individual
MRS. JENNIFER COOKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
1600 7TH AVE S, BIRMINGHAM, AL 35233-1711
(205) 638-6235
(205) 638-5242
Mailing address
1600 7TH AVE S, BIRMINGHAM, AL 35233-1711
(205) 638-6235
(205) 638-5242
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
1-069768
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1-069768
NURSING LICENSE
AL
Enumeration date
10/21/2016
Last updated
10/21/2016
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