Individual
ANGELICA BENNETT COOKSEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
175 N LAWRENCE BLVD, KEYSTONE HEIGHTS, FL 32656-9351
(352) 473-3199
(352) 473-4199
Mailing address
345 W MADISON ST, STARKE, FL 32091-3923
(904) 964-5455
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APRN11026921
FL
Other
Enumeration date
06/13/2023
Last updated
06/13/2023
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