Cook, Jessica M

Cook, Jessica M is an individual health care provider with primary practice located at 61 Presidential Ln , Palm Coast FL 32164-4731. She recently has only one registered license in Other Service Providers / Contractor, which is considered as her primary health care specialty. Cook, Jessica M can be contacted via phone (386) 627-0880.

Contact Information

Primary practice address
61 Presidential Ln Palm Coast FL 32164-4731
Phone: (386) 627-0880
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Contractor 171W00000X

Profile Details

NPI number 1962647503
LBN Legal business name Cook, Jessica M
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 11th, 2008
Last updated Dec 11th, 2008 - about 17 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.

Request for update

Popular Providers