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NPI Code Detail

MEDICARE: MEGAN N. COOK PMHNP

MEDICARE: MEGAN N. COOK PMHNP
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
1363L00000XNurse Practitioner71014457AIN
2363LP0808XPsychiatric/Mental Health Nurse Practitioner71014457AIN

General Provider Information

NPI Number : 1275311276
Entity Type Code : Individual
Provider Name (Legal Business Name) : MEGAN N. COOK PMHNP
Provider Business Mailing Address
First Line : 800 W 9TH ST
Second Line :
City : JASPER
State : IN
Zip : 47546-2516
Country : US
Telephone Number : 812-996-0437
Fax Number :
Provider Business Practice Location Address
First Line : 800 W 9TH ST
Second Line :
City : JASPER
State : IN
Zip : 47546-2516
Country : US
Telephone Number : 812-996-0437
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/20/2023
Last Update Date : 04/12/2026

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