Individual
JENNY VUONG COOKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2401 MONUMENT RD, JACKSONVILLE, FL 32225-2520
(904) 642-0337
Mailing address
5603 RAMSEY ST, FAYETTEVILLE, NC 28311-1423
(910) 488-6337
(910) 488-1384
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
001004534
NC
363A00000X
Physician Assistant
Primary
PA9109392
FL
Other
Enumeration date
11/20/2013
Last updated
10/21/2020
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