Individual
RUBY SHAREE COOKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
4319 CARTER ST, VIDALIA, LA 71373-3152
(318) 414-2190
Mailing address
4319 CARTER ST, VIDALIA, LA 71373-3152
(318) 414-2190
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
906318
MS
Other
Enumeration date
10/05/2023
Last updated
03/28/2024
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