Lisa Renee Cook is a Family in Kingsport, Tennessee. Lisa Renee Cook practices all healthcare services and medical treatments related to Family. The NPI Number for Lisa Renee Cook is 1538163076. The last update date is 2018-11-01.
Lisa Renee Cook's current location address is 105 W Stone Dr Ste 6a, Kingsport, Tennessee. You can contact this provider via phone number 4234087220 and fax number 4234087205. The mailing address for Lisa Renee Cook is 105 W Stone Dr Ste 6a, Kingsport, Tennessee. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Lisa Renee Cook |
|---|---|
| Address | 105 W Stone Dr Ste 6a, Kingsport, Tennessee |
| Phone Number | 4234087220 |
| Fax Number | 4234087205 |
| Sole Proprietor | N |
| Credentials | FNP |
NPI Number Detail
| NPI Number | 1538163076 |
|---|---|
| Provider Enumeration Date | 2005-06-13 |
| Last Updated Date | 2018-11-01 |
Provider Mailing Address Detail
| Address | 105 W Stone Dr Ste 6a |
|---|---|
| City | Kingsport |
| State | Tennessee (TN) |
| Post Code | 3766032560 |
| Phone Number | 4234087220 |
| Fax Number | 4234087205 |
Provider's Primary Taxonomy Detail
| Speciality | Family |
|---|---|
| Taxonomy | 363Lf0000X |
| Licence No | 7598 |
|
Definition: An advanced practice registered nurse expert in primary healthcare for patients of all ages. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 4081495 | TN | BCBST | |
| 3928741 | TN | -- |
Post Comment/ Review Below
What is the Lisa Renee Cook's unique identification number?
The Lisa Renee Cook has been assigned the NPI (National Provider Identifier) Number 1538163076 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you share the physical location details of Lisa Renee Cook?
The Lisa Renee Cook is situated at 105 W Stone Dr Ste 6A, in the city of Kingsport, state of TN, with the zip code 3766032560.
What is the Lisa Renee Cook's area of specialization and corresponding taxonomy classification?
The Lisa Renee Cook's specialty field is Family, and it falls under the taxonomy code 363Lf0000X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services issue the 1538163076 to Lisa Renee Cook?
The Lisa Renee Cook received its 1538163076 assignment from the Centers for Medicare & Medicaid Services on 2005-06-13.
When was the information pertaining to Lisa Renee Cook most recently updated or revised?
The details related to Lisa Renee Cook, including its address, specialty, and other relevant information, were last updated or revised on 2018-11-01.
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