Individual
MRS. NAKITA DOREZ COOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
320 E CENTRAL AVE, DECATUR, IL 62521-4665
(217) 877-9117
(217) 877-9117
Mailing address
320 E CENTRAL AVE, DECATUR, IL 62521-4665
(217) 877-9117
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
209016704
IL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
277.001745
IL
Other
Enumeration date
09/29/2017
Last updated
04/15/2026
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