Provider Demographics
NPI:1962881557
Name:MILHOUSE-COOK, NAKITA (CRNP)
Entity type:Individual
Prefix:
First Name:NAKITA
Middle Name:
Last Name:MILHOUSE-COOK
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1201 MONTLIMAR DR STE 100
Mailing Address - Street 2:
Mailing Address - City:MOBILE
Mailing Address - State:AL
Mailing Address - Zip Code:36609-1718
Mailing Address - Country:US
Mailing Address - Phone:251-343-0989
Mailing Address - Fax:251-343-0792
Practice Address - Street 1:1201 MONTLIMAR DR STE 100
Practice Address - Street 2:
Practice Address - City:MOBILE
Practice Address - State:AL
Practice Address - Zip Code:36609-1718
Practice Address - Country:US
Practice Address - Phone:251-343-0989
Practice Address - Fax:251-343-0792
Is Sole Proprietor?:No
Enumeration Date:2015-05-28
Last Update Date:2015-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1-087071363LA2200X, 363LG0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
No363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology