Provider Demographics
NPI:1851901136
Name:COOK, KELLY FRANCES (PMHNP-BC)
Entity type:Individual
Prefix:MS
First Name:KELLY
Middle Name:FRANCES
Last Name:COOK
Suffix:
Gender:
Credentials:PMHNP-BC
Other - Prefix:MS
Other - First Name:KELLY
Other - Middle Name:FRANCES
Other - Last Name:COOK
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:KELLY COOK APRN
Mailing Address - Street 1:7301 FOREST AVE STE 200
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23226-3792
Mailing Address - Country:US
Mailing Address - Phone:804-207-6737
Mailing Address - Fax:
Practice Address - Street 1:7301 FOREST AVE STE 200
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23226-3792
Practice Address - Country:US
Practice Address - Phone:804-207-6737
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-08-03
Last Update Date:2025-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN.459540163WP0808X
VA0001315736163WP0808X
OHAPRN.CNP.0027507363LP0808X
VA0024185821363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No163WP0808XNursing Service ProvidersRegistered NursePsychiatric/Mental Health