Cook, Jennifer Q

Cook, Jennifer Q is an individual health care provider with primary practice located at 624 Highway 51 N , Brookhaven MS 39601-2337. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Cook, Jennifer Q can be contacted via phone (601) 835-2100.

Contact Information

Primary practice address
624 Highway 51 N Brookhaven MS 39601-2337
Phone: (601) 835-2100
Fax: (601) 835-0451
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X R865021 Mississippi

Profile Details

NPI number 1730371964
LBN Legal business name Cook, Jennifer Q
Credentials Certified Nurse Practitioner (CNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 12th, 2007
Last updated Mar 13th, 2015 - about 10 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 1730371964 NPPES
Mississippi MEDICAID 07400054

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