Provider Demographics
NPI:1972156057
Name:COOK, KRISTEN LYNN (MSN, APRN, FNP-C)
Entity type:Individual
Prefix:
First Name:KRISTEN
Middle Name:LYNN
Last Name:COOK
Suffix:
Gender:
Credentials:MSN, APRN, FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2303 DAWSON RD STE 101
Mailing Address - Street 2:
Mailing Address - City:ALBANY
Mailing Address - State:GA
Mailing Address - Zip Code:31707-2715
Mailing Address - Country:US
Mailing Address - Phone:229-883-1130
Mailing Address - Fax:229-883-1153
Practice Address - Street 1:2303 DAWSON RD STE 101
Practice Address - Street 2:
Practice Address - City:ALBANY
Practice Address - State:GA
Practice Address - Zip Code:31707-2715
Practice Address - Country:US
Practice Address - Phone:229-883-1130
Practice Address - Fax:229-883-1153
Is Sole Proprietor?:No
Enumeration Date:2019-07-18
Last Update Date:2025-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN216267363LF0000X, 363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily