MRS. JILL RENEE COOK RN PHN NPI 1083745772

NPI Information

NPI: 1083745772
Provider Name: MRS. JILL RENEE COOK, RN, PHN
Classification: Registered Nurse - 163WA2000X
Entity Type: Individual

Specialization: Administrator

Address:
2101 COURAGE DR
FAIRFIELD, CA
ZIP 94533
Phone: (707) 784-2167
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MRS. Jill Renee Cook, RN, PHN is an administrator registered nurse in Fairfield, CA. MRS. Jill Renee Cook, RN, PHN NPI is 1083745772. 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:

2101 COURAGE DR
FAIRFIELD, CA
ZIP 94533-717
Phone: (707) 784-2167

The enumeration date for this NPI number is 3/7/2007 and was last updated on 7/8/2007.

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	163WA2000X	Registered Nurse	Administrator	504699	CALIFORNIA	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: 4/28/2024

NPI Synchronization or Removal

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