Healthcare Provider Details

I. General information

NPI: 1285588954
Provider Name (Legal Business Name): BOBBI JO COOK
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/20/2026
Last Update Date: 06/12/2026
Certification Date: 06/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

25651 DETROIT RD
WESTLAKE OH
44145-2415
US

IV. Provider business mailing address

23305 LINCOLNSHIRE DR
BAY VILLAGE OH
44140-3030
US

V. Phone/Fax

Practice location:
  • Phone: 330-843-1444
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPRN.CNP.0042145
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: