Individual
MS. DANIELLE CORINE COOKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
101 PLAIN ST STE 4, PROVIDENCE, RI 02903-4829
(401) 736-4592
(401) 889-5008
Mailing address
300 LONGWOOD AVE, BOSTON, MA 02115-5724
(617) 355-6000
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA01391
RI
363AS0400X
Surgical Physician Assistant
PA6973
MA
363AS0400X
Surgical Physician Assistant
—
CT
Other
Enumeration date
05/31/2018
Last updated
06/09/2025
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