Individual
SHANNON NICOLE COOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RD, LD
Contact information
Practice address
8237 W 100 S, JAMESTOWN, IN 46147-8829
(765) 894-6033
Mailing address
8237 W 100 S, JAMESTOWN, IN 46147-8829
(765) 894-6033
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
02/16/2023
Last updated
02/16/2023
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