Cook, Jennifer

Cook, Jennifer is an individual health care provider with primary practice located at 2080 N State Highway 360 Ste 350 , Grand Prairie TX 75050-1451. She recently has only one registered license in Dietary & Nutritional Service Providers / Dietitian, Registered, which is considered as her primary health care specialty. Cook, Jennifer can be contacted via phone (817) 812-4723.

Contact Information

Primary practice address
2080 N State Highway 360 Ste 350 Grand Prairie TX 75050-1451
Phone: (817) 812-4723
Fax: (817) 812-6042
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X DT84249 Texas

Profile Details

NPI number 1962023853
LBN Legal business name Cook, Jennifer
Credentials LD, LMSW
Entity Individual
Sole proprietor 1 No
Enumeration date May 1st, 2020
Last updated May 1st, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1962023853 NPPES
Texas Other DT84249 LD LICENSE

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