Cooke, Jordan Fayth

Cooke, Jordan Fayth is an individual health care provider with primary practice located at 8101 S Broadway Ave , Tyler TX 75703-5469. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as her primary health care specialty. Cooke, Jordan Fayth can be contacted via phone (903) 939-7500.

Contact Information

Primary practice address
8101 S Broadway Ave Tyler TX 75703-5469
Phone: (903) 939-7500
Fax: (903) 939-7728
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X PA11584 Texas

Profile Details

NPI number 1033628383
LBN Legal business name Cooke, Jordan Fayth
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 28th, 2017
Last updated Feb 22nd, 2022 - about 3 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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