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SHERRY SUE COOK
>> Licensed Practical Nurse >> Nursing Service ProvidersRegistrant NPI Number: 1356774814
Individual Registrant: SHERRY SUE COOK
Gender: F
Not Sole Proprietor
Gender: F
Not Sole Proprietor
Location and contact information for practice:
221 LINDLEY LN NEWPORT, AR 72112-4954 US
Tel: 870-523-2124 Fax: 870-523-5168
Tel: 870-523-2124 Fax: 870-523-5168
Contact information for business:
1 CHILDRENS WAY SLOT 512-39 LITTLE ROCK, AR 72202-3500 US
Tel: 501-526-8700 Fax: 501-526-8740
Tel: 501-526-8700 Fax: 501-526-8740
Registration Information:
NPI: 1356774814
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 164W00000X | Nursing Service Providers Licensed Practical Nurse | AR | L045820 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
