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Jackline Otieno Cook, NP
Acute Care Nurse Practitioner in Fort Worth, Texas
NPI 1821712654

Jackline Otieno Cook is an Acute Care Nurse Practitioner based in Fort Worth, TX and is specialized in Acute Care. Jackline Otieno Cook practices in Fort Worth, TX and has the professional credentials of NP. The NPI Number for Jackline Otieno Cook is 1821712654 and holds a License No. A (Texas).

The current practice location address for Jackline Otieno Cook is 1300 W Terrell Ave Ste K230, Fort Worth, TX and can be reached out via phone at 817-250-4906.

Location: 1300 W Terrell Ave Ste K230, Fort Worth, TX, 76104-3104
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Provider Profile Details
NPI Number
1821712654
Provider Name
Jackline Otieno Cook
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
1300 W Terrell Ave Ste K230, Fort Worth, TX, 76104-3104
Phone Number
817-250-4906
Fax Number
Provider Enumeration Date
09/26/2022
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
363LA2100X 01 TX TAXONOMY CODE
institution
Provider Business Practice Location Address Details
Address
1300 W Terrell Ave Ste K230
City
State
Zip
76104-3104
Phone Number
817-250-4906
Fax Number
person
Provider Business Mailing Address Details
Address
1300 W Terrell Ave Ste K230
City
State
Zip
76104-3104
Phone Number
817-250-4906
Fax Number
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Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Acute Care
Taxonomy
License No.
A (Texas)
Definition
Definition to come...
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