Provider Demographics
NPI:1992472815
Name:COOK, JULIANNA MICHELE (NP-C)
Entity type:Individual
Prefix:MISS
First Name:JULIANNA
Middle Name:MICHELE
Last Name:COOK
Suffix:
Gender:F
Credentials:NP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 800
Mailing Address - Street 2:
Mailing Address - City:FARMINGTON
Mailing Address - State:GA
Mailing Address - Zip Code:30638-0800
Mailing Address - Country:US
Mailing Address - Phone:706-207-8861
Mailing Address - Fax:
Practice Address - Street 1:2051 HAMILL RD STE 103
Practice Address - Street 2:
Practice Address - City:HIXSON
Practice Address - State:TN
Practice Address - Zip Code:37343-4653
Practice Address - Country:US
Practice Address - Phone:423-756-8871
Practice Address - Fax:423-475-8976
Is Sole Proprietor?:No
Enumeration Date:2021-08-27
Last Update Date:2024-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL11010786363LF0000X
TX1031263363LF0000X
TN29585363LF0000X
GARN254935363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily