Individual provider · Type 1 NPI

Nicole Maria Cooke, PMHNP-BC

Psychiatric/Mental Health Nurse Practitioner · Live Oak, FL

NPI number 1053910752 Active

Practice location

5964 US Highway 90
Live Oak, FL 32060-8694

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program 390200000X9435338 (FL)
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808X11013322 (FL)

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

5 other providers at this address

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About NPI 1053910752

Nicole Maria Cooke, PMHNP-BC's National Provider Identifier is 1053910752, issued on Oct 22, 2020. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Live Oak, FL. The record was last updated on May 26, 2021.