Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | 28282 | WV |
N | 208000000X | Pediatrician | 58797 | AZ |
Y | 2080P0204X | Pediatric Emergency Doctor | RTL | NC |
NPI | 1023469376 |
---|---|
Provider Name | Dr. Jodi P Cook |
First Address | Raleigh, NC 27610-1231 |
Second Address | Raleigh, NC 27610-1231 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/06/2016 |
Last Update Date | 24/06/2021 |