Provider Demographics
NPI:1154093748
Name:COOK, JAMES DAVID JR (NP)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:DAVID
Last Name:COOK
Suffix:JR
Gender:M
Credentials:NP
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:100 KIMEL FOREST DR
Mailing Address - Street 2:
Mailing Address - City:WINSTON SALEM
Mailing Address - State:NC
Mailing Address - Zip Code:27103-6074
Mailing Address - Country:US
Mailing Address - Phone:336-716-1331
Mailing Address - Fax:
Practice Address - Street 1:4705 UNIVERSITY DR BLDG 700
Practice Address - Street 2:
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27707-3489
Practice Address - Country:US
Practice Address - Phone:919-237-1337
Practice Address - Fax:919-237-1625
Is Sole Proprietor?:No
Enumeration Date:2021-10-01
Last Update Date:2023-02-11
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NCF07210632363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily