JENNIFER KAYE COOK APRN NPI 1073858049

NPI Information

NPI: 1073858049
Provider Name: JENNIFER KAYE COOK, APRN
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

Organization: ADA WEST DERMATOLOGY, P.C.

PECOS Registration: Yes

Address:
1618 S MILLENIUM WAY
MERIDIAN, ID
ZIP 83642
Phone: (208) 884-3376
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Jennifer Kaye Cook, APRN is a family nurse practitioner in Meridian, ID with 12 years of experience. Jennifer Kaye Cook, APRN NPI is 1073858049. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1618 S MILLENIUM WAY
MERIDIAN, ID
ZIP 83642-439
Phone: (208) 884-3376
Fax: (208) 884-0858

The NPI 1073858049 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 12/3/2012 and was last updated on 8/29/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family	8262397-4405	UTAH	No
2	363LF0000X	Nurse Practitioner	Family	NP-1525A	IDAHO	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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