Individual
JACQUELINE COOKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
521 E 86TH AVE STE Z, MERRILLVILLE, IN 46410-6236
(847) 920-0902
(219) 209-5774
Mailing address
8732 S 800 W, WANATAH, IN 46390-9532
(219) 309-5780
(219) 209-5774
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
71005252A
IN
Other
Enumeration date
10/30/2014
Last updated
01/10/2026
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