Individual
MRS. MARY JANE COOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
804 SERVICE ROAD, ROOM A142, EAST LANSING, MI 48824-7039
(517) 355-3503
(517) 432-3742
Mailing address
804 SERVICE RD, A201, EAST LANSING, MI 48824-7015
(517) 884-2976
(517) 432-3928
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704114553
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5202009
—
MI
Enumeration date
04/19/2007
Last updated
06/09/2016
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