Provider Demographics
NPI:1588977672
Name:COOK, JENNIFER KUHNS (FNP-BC)
Entity type:Individual
Prefix:MRS
First Name:JENNIFER
Middle Name:KUHNS
Last Name:COOK
Suffix:
Gender:F
Credentials:FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:96 1ST PL
Mailing Address - Street 2:GARDEN APT 1
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11231-4252
Mailing Address - Country:US
Mailing Address - Phone:347-689-2203
Mailing Address - Fax:
Practice Address - Street 1:96 1ST PL
Practice Address - Street 2:GARDEN APT 1
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11231-4252
Practice Address - Country:US
Practice Address - Phone:347-689-2003
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-07-19
Last Update Date:2010-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYF336224363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily