Individual
TERA RACHAL COOKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AGNP
Contact information
Practice address
1712 MISSILE BASE RD, STONEWALL, LA 71078-8328
(318) 775-5256
Mailing address
1712 MISSILE BASE RD, STONEWALL, LA 71078-8328
(318) 208-1191
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
214421
LA
Other
Enumeration date
07/20/2020
Last updated
04/03/2025
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