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Individual

JOANNIE H COOK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
2201 REGENCY RD STE 100, LEXINGTON, KY 40503-2336
(859) 278-1316
(859) 276-3847
Mailing address
280 PASADENA DR, LEXINGTON, KY 40503-2925
(859) 278-1316
(859) 276-3847

Taxonomy

Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
1153872
KY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
3018627
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1790731081
KY
Enumeration date
12/28/2021
Last updated
01/18/2023
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