MEDICARE: MRS. JACQUELINE COOK FNP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	239048	AZ

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	239048	OTHER	AZ	CERTIFIED NURSE PRACTITIONER

General Provider Information

NPI Number	:	1235764655
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. JACQUELINE COOK FNP

Provider Business Mailing Address
First Line	:	9803 W ECHO LN
Second Line	:
City	:	PEORIA
State	:	AZ
Zip	:	85345-3723
Country	:	US
Telephone Number	:	623-628-6893
Fax Number	:

Provider Business Practice Location Address
First Line	:	7952 N 43RD AVE
Second Line	:
City	:	GLENDALE
State	:	AZ
Zip	:	85301-1662
Country	:	US
Telephone Number	:	623-628-6893
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/05/2020
Last Update Date	:	03/05/2020

Similar Medicare Providers

1932671559 — BANNER URGENT CARE SERVICES, LLC
Practice Location Address:

7952 N 43RD AVE
GLENDALE, AZ
85301-1662

Practice Phone: 623-465-6330
Practice Fax:

1952027799 — CLAIRE MARASIGAN PA-C
Practice Location Address:

7952 N 43RD AVE
GLENDALE, AZ
85301-1662

Practice Phone: 623-465-6330
Practice Fax:

1841712908 — 360 PHYSICAL THERAPY LLC
Practice Location Address:

6630 W CACTUS RD STE B112
GLENDALE, AZ
85304-1662

Practice Phone: 480-821-1997
Practice Fax: 480-782-5213

1093387045 — SEATON BONAR DPT
Practice Location Address:

6630 W CACTUS RD STE B112
GLENDALE, AZ
85304-1662

Practice Phone: 623-469-5811
Practice Fax:

1447955596 — DR. SAEIDEH TORABI DALIVANDAN PHD, CGMBS
Practice Location Address:

658 W LEXINGTON DR
GLENDALE, CA
91203-1662

Practice Phone: 818-299-2684
Practice Fax:

1962288449 — MR. NIELES CHRISTIAN ZARAGOZA BARRERA
Practice Location Address:

6630 W CACTUS RD STE B112
GLENDALE, AZ
85304-1662

Practice Phone: 623-469-5811
Practice Fax:

Directions to “ MRS. JACQUELINE COOK FNP” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.