Individual
MS. JANE FRANCE COOK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
81614 AVENIDA CELAYA, INDIO, CA 92203-4107
(760) 698-9402
Mailing address
816614 AVENIDA CELAYA, INDIO, CA 92203-4107
(760) 698-9402
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
221415
CA
163WC0400X
Case Management Registered Nurse
97000
CA
163WC1500X
Community Health Registered Nurse
475999
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
221514
REGISTERED NURSE
CA
01
—
47599
PUBLIC HEALTH (PHN)
CA
01
—
97000
CCM (CERTIFIED CASE MANAGER )
CA
Enumeration date
01/15/2013
Last updated
01/15/2013
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