Individual provider · Type 1 NPI
Jill Renee Cook, RN, PHN
Administrator Registered Nurse · Fairfield, CA
NPI number
1083745772
Active
Practice location
2101 Courage Dr
Fairfield, CA 94533-6717
Mailing address
3509 Ridgewood Ct
Fairfield, CA 94534-8643
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Administrator Registered Nurse Primary | 163WA2000X | 504699 (CA) |
Administrator Registered Nurse: Definition to come...
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About NPI 1083745772
Jill Renee Cook, RN, PHN's National Provider Identifier is 1083745772, issued on Mar 7, 2007. The primary taxonomy on file is Administrator Registered Nurse (163WA2000X), and the practice location is in Fairfield, CA. The record was last updated on Jul 8, 2007.