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Mrs. Nicole Maria Cooke, PMHNP-BC
Psychiatric/Mental Health Nurse Practitioner in Live Oak, Florida
NPI 1053910752

Nicole Maria Cooke is a Psychiatric/Mental Health Nurse Practitioner based in Live Oak, FL and is specialized in Psychiatric/Mental Health. Nicole Maria Cooke practices in Live Oak, FL and has the professional credentials of PMHNP-BC. The NPI Number for Nicole Maria Cooke is 1053910752 and holds a License No. 9435338 (Florida).

The current practice location address for Nicole Maria Cooke is 5964 Us Highway 90, Live Oak, FL and can be reached out via phone at 631-388-3933.

Location: 5964 Us Highway 90, Live Oak, FL, 32060-8694
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1053910752
Provider Name
Nicole Maria Cooke
Credential
PMHNP-BC
Provider Entity Type
Individual
Gender
Female
Address
5964 Us Highway 90, Live Oak, FL, 32060-8694
Phone Number
631-388-3933
Fax Number
Provider Enumeration Date
10/22/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
5964 Us Highway 90
City
Live Oak
State
Florida
Zip
32060-8694
Phone Number
631-388-3933
Fax Number
person
Provider Business Mailing Address Details
Address
5964 Us Highway 90
City
Live Oak
State
Florida
Zip
32060-8694
Phone Number
631-388-3933
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
363LP0808X
License No.
11013322 (Florida)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
9435338 (Florida)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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