Provider Demographics
NPI:1316269582
Name:COOK, SHERYL L (NP-C)
Entity type:Individual
Prefix:MRS
First Name:SHERYL
Middle Name:L
Last Name:COOK
Suffix:
Gender:F
Credentials:NP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:702 CANTON RD NE
Mailing Address - Street 2:
Mailing Address - City:MARIETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30060-7271
Mailing Address - Country:US
Mailing Address - Phone:770-428-4486
Mailing Address - Fax:770-429-7043
Practice Address - Street 1:702 CANTON RD NE
Practice Address - Street 2:
Practice Address - City:MARIETTA
Practice Address - State:GA
Practice Address - Zip Code:30060-7271
Practice Address - Country:US
Practice Address - Phone:770-428-4486
Practice Address - Fax:770-429-7043
Is Sole Proprietor?:No
Enumeration Date:2010-02-15
Last Update Date:2023-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN154812363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily