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NPI Code Detail

MEDICARE: JENNIFER COOK APRN

MEDICARE:   JENNIFER  COOK  APRN
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
1363LP0808XPsychiatric/Mental Health Nurse Practitioner848376NV

General Provider Information

NPI Number : 1295604882
Entity Type Code : Individual
Provider Name (Legal Business Name) : JENNIFER COOK APRN
Provider Business Mailing Address
First Line : 5840 W CRAIG RD STE 120
Second Line :
City : LAS VEGAS
State : NV
Zip : 89130-2562
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 11500 S EASTERN AVE STE 150
Second Line :
City : HENDERSON
State : NV
Zip : 89052-5576
Country : US
Telephone Number : 702-936-3366
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/01/2025
Last Update Date : 01/23/2026

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