Individual
MS. JACQUELINE ANN COOKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
530 S JACKSON ST, FIRST CARE, LOUISVILLE, KY 40202-1675
(502) 562-3110
Mailing address
530 S JACKSON ST, FIRST CARE, LOUISVILLE, KY 40202-1675
(502) 562-3110
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA754
KY
Other
Enumeration date
07/11/2008
Last updated
07/11/2008
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