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Individual

MS. JACQUELINE L COOK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
BC-FNP

Contact information

Practice address
960 E WALNUT LAWN, SUITE 201, SPRINGFIELD, MO 65807
(417) 269-4450
(417) 269-8333
Mailing address
PO BOX 4046, PO BX 496, SPRINGFIELD, MO 65808-4046
(417) 269-4343
(417) 269-7567

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
105594
MO

Other

Enumeration date
08/01/2007
Last updated
06/23/2011
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