Healthcare Provider Details

I. General information

NPI: 1346671468
Provider Name (Legal Business Name): JENNIFER TERRY COOK ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/30/2013
Last Update Date: 07/10/2026
Certification Date: 07/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

PO BOX 332
SYLVA NC
28779-0332
US

IV. Provider business mailing address

PO BOX 332
SYLVA NC
28779-0332
US

V. Phone/Fax

Practice location:
  • Phone: 352-442-5325
  • Fax:
Mailing address:
  • Phone: 352-442-5325
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number2731942
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number5017757
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: