Individual
JENNIFER LYNNE COOK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1001 PENNSYLVANIA AVE, OTTUMWA, IA 52501-6427
(641) 684-2300
Mailing address
105 E LOCUST ST, BLOOMFIELD, IA 52537-1458
(614) 664-3602
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
114076
IA
Other
Enumeration date
04/04/2018
Last updated
04/04/2018
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