Individual provider · Type 1 NPI
Gracie Yvette Cooksey
Acute Care Nurse Practitioner · San Antonio, TX
NPI number
1417892803
Active
Practice location
520 Madison Oak Dr
San Antonio, TX 78258-3912
Mailing address
19500 Ih 10 W Stop 1-3030
San Antonio, TX 78257-9509
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Gerontology Nurse Practitioner | 363LG0600X | 1231988 (TX) |
| Acute Care Nurse Practitioner Primary | 363LA2100X | 1231988 (TX) |
Acute Care Nurse Practitioner: Definition to come...
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About NPI 1417892803
Gracie Yvette Cooksey's National Provider Identifier is 1417892803, issued on Apr 21, 2026. The primary taxonomy on file is Acute Care Nurse Practitioner (363LA2100X), and the practice location is in San Antonio, TX. The record was last updated on Apr 21, 2026.