Individual
JACLYN G COOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, FNP-BC
Contact information
Practice address
1201 BEAVER CREEK COMMONS DR, APEX, NC 27502-3922
(866) 389-2727
Mailing address
2520 UMBRIA CT, APEX, NC 27502-9618
(919) 917-4608
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
5005219
NC
Other
Enumeration date
07/21/2011
Last updated
03/18/2016
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