Healthcare Provider Details

I. General information

NPI: 1457742389
Provider Name (Legal Business Name): ASHLEY CORINNE COOK WHNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/13/2015
Last Update Date: 01/07/2025
Certification Date: 01/07/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1001 MEDICAL PLAZA DR STE 280
SPRING TX
77380-3209
US

IV. Provider business mailing address

112 BROOKE ADDISON WAY
MONTGOMERY TX
77316-1505
US

V. Phone/Fax

Practice location:
  • Phone: 281-363-4445
  • Fax: 281-292-4419
Mailing address:
  • Phone: 94-256-1901
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LW0102X
TaxonomyWomen's Health Nurse Practitioner
License Number718999
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: