Individual
STEPHANIE H COOK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
4825 MARK CENTER DR STE 150, ALEXANDRIA, VA 22311-1846
(703) 751-8111
(703) 751-1105
Mailing address
2901 TELESTAR CT STE 300, FALLS CHURCH, VA 22042-1263
(703) 591-1688
(703) 591-1445
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
0024181204
VA
363LA2200X
Adult Health Nurse Practitioner
0024181204
VA
363LA2200X
Adult Health Nurse Practitioner
AG10200024
TN
Other
Enumeration date
10/16/2020
Last updated
08/25/2022
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