MRS. JILL RENEE COOK RN, PHN
NPI 1083745772
Registered Nurse - Administrator in Fairfield, CA
Active since March 07, 2007
About Mrs. Jill Renee Cook Rn, Phn NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. JILL RENEE COOK RN, PHN (NPI 1083745772) is an individual administrator provider in Fairfield, California, licensed in California (504699) and active in the NPI registry since March 2007.
NPPES Registry Identity
NPI1083745772
Entity TypeIndividualFemale
Primary Taxonomy163WA2000X
Provider Legal NameMRS. JILL RENEE COOKCredential: RN, PHN
Location Address2101 COURAGE DRFairfield, CA 94533-6717
Mailing Address3509 Ridgewood CtFairfield, CA 94534-8643 · (707) 421-2043
Phone(707) 784-2167
Sole ProprietorNo
Enumeration DateMarch 7, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1083745772 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyRegistered Nurse · AdministratorNursing Service Providers
Taxonomy Code163WA2000X
License✔ Licensed in CA · 504699
2101 COURAGE DR, Fairfield, CA 94533
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Dietitian, Registered
2101 COURAGE DR, MS 10-100, SCH AND SS
FAIRFIELD, CA 94533
FAIRFIELD, CA 94533
Psychiatry & Neurology (Psychiatry)
2101 COURAGE DR
FAIRFIELD, CA 94533
FAIRFIELD, CA 94533
Psychiatry & Neurology (Psychiatry)
2101 COURAGE DR, BOX 4090, MAIL STATION 10-300
FAIRFIELD, CA 94533
FAIRFIELD, CA 94533
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1083745772, enumerated as an "individual" on March 07, 2007.
The provider is located at 2101 COURAGE DR FAIRFIELD, CA 94533 and the phone number is (707) 784-2167.
Registered Nurse with taxonomy code 163WA2000X and a focus in Administrator.
