Individual
JENNIFER Q COOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
624 HIGHWAY 51 N, BROOKHAVEN, MS 39601-2337
(601) 835-2100
(601) 835-0451
Mailing address
624 HIGHWAY 51 N, BROOKHAVEN, MS 39601-2337
(601) 835-2100
(601) 835-0451
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
R865021
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
07400054
—
MS
Enumeration date
08/12/2007
Last updated
03/13/2015
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