Individual
JESSICA CAMERON COOK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
8383 MILLICENT WAY, SHREVEPORT, LA 71115-5207
(318) 797-6661
(318) 795-8512
Mailing address
8383 MILLICENT WAY, SHREVEPORT, LA 71115-5207
(318) 797-6661
(318) 795-8512
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
327908
LA
Other
Enumeration date
03/31/2020
Last updated
05/08/2024
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