Provider Demographics
NPI:1346094455
Name:COOKE, JACOB (BCFDN-P, CNHP)
Entity Type:Individual
Prefix:
First Name:JACOB
Middle Name:
Last Name:COOKE
Suffix:
Gender:M
Credentials:BCFDN-P, CNHP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1580 MONTGOMERY HWY STE 14B
Mailing Address - Street 2:
Mailing Address - City:HOOVER
Mailing Address - State:AL
Mailing Address - Zip Code:35216-4585
Mailing Address - Country:US
Mailing Address - Phone:205-609-1073
Mailing Address - Fax:
Practice Address - Street 1:1580 MONTGOMERY HWY STE 14B
Practice Address - Street 2:
Practice Address - City:HOOVER
Practice Address - State:AL
Practice Address - Zip Code:35216-4585
Practice Address - Country:US
Practice Address - Phone:205-609-1073
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-04-15
Last Update Date:2024-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171400000XOther Service ProvidersHealth & Wellness Coach
No175F00000XOther Service ProvidersNaturopath