Healthcare Provider Details

I. General information

NPI: 1891603635
Provider Name (Legal Business Name): BRIANA COOK MSN, APRN, FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/01/2026
Last Update Date: 09/01/2026
Certification Date: 09/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 HICKOX DR
JONESBORO AR
72401-8955
US

IV. Provider business mailing address

100 HICKOX DR
JONESBORO AR
72401-8955
US

V. Phone/Fax

Practice location:
  • Phone: 870-219-1786
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number239404
License Number StateAR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: