Individual provider · Type 1 NPI

Jennifer Blake Cook

Physician Assistant · Petersburg, VA

NPI number 1689452146 Active

Practice location

44 Medical Park Blvd Ste D
Petersburg, VA 23805-9351

Mailing address

218 N Charles St Apt 2106
Baltimore, MD 21201-4026

Other practice locations

  • 520 W Fayette St Ste 300, Baltimore, MD 21201-1756 · (804) 572-3707

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000XNone listed
Physician Assistant Primary 363A00000X0110010449 (VA)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1689452146

Jennifer Blake Cook's National Provider Identifier is 1689452146, issued on Sep 18, 2023. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Petersburg, VA. The record was last updated on Jun 12, 2025.