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NPI Code Detail

MEDICARE: MRS. DONNISHA R COOK MS, RDN, LDN

MEDICARE:  MRS. DONNISHA R COOK  MS, RDN, LDN
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
1133V00000XRegistered DietitianL009301NC

General Provider Information

NPI Number : 1356276661
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. DONNISHA R COOK MS, RDN, LDN
Provider Business Mailing Address
First Line : 8857 THORNTON TOWN PL
Second Line :
City : RALEIGH
State : NC
Zip : 27616-8065
Country : US
Telephone Number : 919-396-3217
Fax Number :
Provider Business Practice Location Address
First Line : 2301 ERWIN RD
Second Line :
City : DURHAM
State : NC
Zip : 27705-4699
Country : US
Telephone Number : 919-684-8111
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/17/2026
Last Update Date : 06/17/2026

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