Doctor Name: | SHERRY SUE COOK |
NPI Number: | 1356774814 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | L045820 |
Business Practice Address: | 221 Lindley Ln Newport, AR - 721124954 |
Business Phone Number: | 8705232124 |
Business Fax Number: | 8705235168 |
Mailing Address: | 1 Childrens Way, Slot 512-39 LITTLE ROCK |
State: | AR |
Postal Code: | 722023500 |
Phone Number: | 5015268700 |
Fax Number: | 5015268740 |
NPI Enumeration Date: | 08/19/2013 |
NPI Last Update Date: | 08/19/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 164W00000X |
License Number: | L045820 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AR |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Licensed Practical Nurse |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. |