Individual
LATARSHA COOKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
9010 RIDGE BLVD, JACKSONVILLE, FL 32208-1216
(904) 316-0340
Mailing address
9010 RIDGE BLVD, JACKSONVILLE, FL 32208-1216
(904) 316-0340
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
9364520
FL
163WP0200X
Pediatric Registered Nurse
9364520
FL
163WW0000X
Wound Care Registered Nurse
Primary
9364520
FL
163WX1500X
Ostomy Care Registered Nurse
9364520
FL
Other
Enumeration date
07/18/2013
Last updated
07/18/2013
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