Individual
CECILIA ELESE COOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
230 GOODMAN RD E STE 200, SOUTHAVEN, MS 38671-8313
(662) 384-6949
Mailing address
PO BOX 616, NEW ALBANY, MS 38652-0616
(662) 266-3101
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
907536
MS
Other
Enumeration date
08/08/2025
Last updated
08/08/2025
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