Individual
SHELLY ELAINE COOK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNA
Contact information
Practice address
11644 OLD HIGHWAY 80 W, MERIDIAN, MS 39307-9722
(769) 372-5961
Mailing address
11644 OLD HIGHWAY 80 W, MERIDIAN, MS 39307-9722
(769) 372-5961
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
10087102
MS
Other
Enumeration date
06/09/2025
Last updated
06/09/2025
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