Individual
ELIZABETH COOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP-C
Contact information
Practice address
3627 UNIVERSITY BLVD S STE 550, JACKSONVILLE, FL 32216-7401
(904) 379-5986
(904) 551-0282
Mailing address
PO BOX 370, FORTSON, GA 31808-0370
(706) 494-3008
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
ARNP9414152
FL
363LP2300X
Primary Care Nurse Practitioner
ARNP9414152
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003184432A
—
GA
05
—
019164600
—
FL
Enumeration date
03/03/2016
Last updated
09/11/2020
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