Jennifer Jean Cook, RN
Individual provider Active NPI Registered Nurse · Mukwonago, WI
NPI 1124451661 · NPPES record last updated Aug 20, 2013
Key facts
- NPI
- 1124451661
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- 117582-030 (WI)
- Practice address
- W317S7811 Lakecrest Dr
Mukwonago, WI 53149-9385 - Phone
- (262) 363-2762
- NPI assigned
- Aug 20, 2013
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 117582-030 | WI | MD | Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 117582-030 | WI | Yes |
Addresses
Primary practice location
W317S7811 Lakecrest Dr
Mukwonago, WI 53149-9385
Mailing address
W317S7811 Lakecrest Dr
Mukwonago, WI 53149-9385
Phone (262) 363-2762
Other providers in Mukwonago, WI
- Sarah Cleaver
- Stephanie L Coates-McFeeley
- Katherine Diane Collins
- Kirsten Sarah Collins
- Michael F Connor
- Jean Cottrell
- Kathryn Craig
- Crossroad Therapy, LLC
- Mackenzie Dederich
- Abigail Degracie
All providers in Mukwonago, WI · Registered Nurse in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 20, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.