Individual
JACQUELINE LACOUTURE COOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4500 SAN PABLO RD S, JACKSONVILLE, FL 32224-1865
(904) 953-2000
Mailing address
4500 SAN PABLO RD S, JACKSONVILLE, FL 32224-1865
(904) 953-2000
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
ARNP9313646
FL
363L00000X
Nurse Practitioner
Primary
ARNP9313646
FL
Other
Enumeration date
01/18/2018
Last updated
02/24/2022
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