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Individual

JESSICA LYNN COOK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
1900 KILDAIRE FARM RD, CARY, NC 27518-6616
(919) 350-8000
Mailing address
1017 OLD MEETINGHOUSE WAY, RALEIGH, NC 27615-1698
(813) 965-1766

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
346712
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
P01217259
RR MCR
FL
Enumeration date
02/18/2013
Last updated
07/30/2022
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