Individual
MRS. CHRISTINA R COOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
63 BLACKSTOCK RD, INMAN, SC 29349-1835
(337) 991-9276
Mailing address
5750 JOHNSTON ST STE 205, LAFAYETTE, LA 70503-5334
(337) 991-9276
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
19383
SC
363LF0000X
Family Nurse Practitioner
Primary
19383
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NP3293
—
SC
Enumeration date
05/11/2015
Last updated
09/25/2023
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