Individual
JESSICA NICOLE COOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
77 MCDOWELL ST, ASHEVILLE, NC 28801-4435
(828) 257-4745
(425) 382-4001
Mailing address
PO BOX 100181, COLUMBIA, SC 29202-3141
(828) 202-5200
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-13187
NC
363A00000X
Physician Assistant
PA60542587
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1568856458
—
NC
05
—
2044862
—
WA
Enumeration date
03/27/2015
Last updated
02/12/2024
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