Cook, Jessica E

Cook, Jessica E is an individual health care provider with primary practice located at 1408 Nw 6Th St , Gainesville FL 32601-4020. She recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist, Behavioral Health & Social Service Providers / Behavior Technician. Behavioral Health & Social Service Providers / Behavior Technician is her primary health care specialty. Cook, Jessica E can be contacted via phone (352) 373-4411.

Contact Information

Primary practice address
1408 Nw 6Th St Gainesville FL 32601-4020
Phone: (352) 373-4411
Fax: (352) 373-4455
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist 222Q00000X
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X

Profile Details

NPI number 1912258955
LBN Legal business name Cook, Jessica E
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 1st, 2012
Last updated Sep 14th, 2018 - about 6 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 1912258955 NPPES
Florida MEDICAID 021549900

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