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NPI Code Detail

MEDICARE: JILL L COOK PA-C, ARDMS

MEDICARE: JILL L COOK PA-C, ARDMS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363A00000XPhysician Assistant1198378MI

General Provider Information

NPI Number : 1144982109
Entity Type Code : Individual
Provider Name (Legal Business Name) : JILL L COOK PA-C, ARDMS
Provider Business Mailing Address
First Line : 2021 TIPLADY RD
Second Line :
City : PINCKNEY
State : MI
Zip : 48169-8002
Country : US
Telephone Number : 248-521-9310
Fax Number :
Provider Business Practice Location Address
First Line : 826 W KING ST
Second Line :
City : OWOSSO
State : MI
Zip : 48867-2120
Country : US
Telephone Number : 248-521-9310
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/07/2021
Last Update Date : 02/10/2026

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Directions to “ JILL L COOK PA-C, ARDMS” Practice Location

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