Individual
GRACIE YVETTE COOKSEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
520 MADISON OAK DR, SAN ANTONIO, TX 78258-3912
(210) 297-4000
Mailing address
19500 IH 10 W STOP 1-3030, SAN ANTONIO, TX 78257-9509
(210) 955-6729
(877) 479-3805
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
1231988
TX
363LG0600X
Gerontology Nurse Practitioner
1231988
TX
Other
Enumeration date
04/21/2026
Last updated
04/21/2026
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