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General NPI Number Information
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NPI Number | 1295232510
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Entity Type | Individual
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Provider Name | JACQUELYN MARIE COOK APRN, FNP-BC
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Gender | Female
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Dates
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Enumeration Date | 04/12/2018
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Last Update Date | 09/15/2025
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Provider Practice Location Address
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Address Line | 210062 PINECONE DR
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City | GERING
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State | NE
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Zip | 69341-6716
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Country | US
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Telephone | 720-465-5754
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Fax |
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Provider Business Mailing Address
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Address Line | 210062 PINECONE DR
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City | GERING
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State | NE
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Zip | 69341-6716
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Country | US
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Telephone | 720-475-6626
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Fax | 402-922-9293
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 115792
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License Number State | NE
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Taxonomy #2
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 88549
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License Number State | NE
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