Individual provider · Type 1 NPI

Nicole R. Cook, PA-C

Medical Physician Assistant · Newport News, VA

NPI number 1760625404 Active

Practice location

860 Omni Blvd Ste 301
Newport News, VA 23606-4434

Call (757) 963-1488 Map

Fax (757) 586-5232

Mailing address

860 Omni Blvd Ste 401
Newport News, VA 23606-4430

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X0110003022 (VA)

Medical Physician Assistant: Definition to come...

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About NPI 1760625404

Nicole R. Cook, PA-C's National Provider Identifier is 1760625404, issued on Apr 10, 2009. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Newport News, VA. The record was last updated on Feb 6, 2026.