Individual
STACY LYNN COOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
20 HOBO FORK RD, NATCHEZ, MS 39120-9025
(601) 304-2500
Mailing address
110 WOODVILLE DR, NATCHEZ, MS 39120-4622
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R879780
MS
Other
Enumeration date
11/01/2011
Last updated
02/17/2013
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