Individual
JENNA MARIE COOKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
71 HAYNES STREET, MANCHESTER, CT 06040-4188
(860) 871-6710
(860) 896-4869
Mailing address
101 N PLAINS INDUSTRIAL RD, WALLINGFORD, CT 06492-2360
(203) 949-2700
(203) 949-2712
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
004738
CT
Other
Enumeration date
10/06/2011
Last updated
06/10/2019
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