Individual provider · Type 1 NPI

Demetrius Princess Cook, PMHNP-BC

Psychiatric/Mental Health Nurse Practitioner · Olive Branch, MS

NPI number 1003482993 Active

Practice location

9351 Joe Lyon Blvd
Olive Branch, MS 38654-6506

Call (901) 314-3938 Map

Other practice locations

  • 4526 Federal Ave, Everett, WA 98203-2132 · (425) 349-6200

Specialties and licenses

TaxonomyCodeLicense
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808X61539761 (WA)
Psychiatric/Mental Health Nurse Practitioner 363LP0808X29684 (TN)

Psychiatric/Mental Health Nurse Practitioner: Definition to come...

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About NPI 1003482993

Demetrius Princess Cook, PMHNP-BC's National Provider Identifier is 1003482993, issued on Jun 1, 2021. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Olive Branch, MS. The record was last updated on Oct 19, 2026.