Individual
JESSICA COOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O
Contact information
Practice address
6270 NORTH RIDGE RD, MADISON, OH 44057
(440) 428-8233
(440) 428-8283
Mailing address
6270 NORTH RIDGE RD, MADISON, OH 44057-2567
(440) 428-8233
(440) 428-8283
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
34.011411
OH
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/03/2012
Last updated
02/26/2021
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