Individual
JENNIFER SUE COOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
3401 E RAYMOND ST, INDIANAPOLIS, IN 46203-4744
(317) 957-2100
Mailing address
6350 E CENTENARY RD, MOORESVILLE, IN 46158-6872
(317) 501-6162
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
09000400A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300064028
—
IN
Enumeration date
05/17/2022
Last updated
06/05/2024
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