Provider Demographics
NPI:1427214667
Name:COOK, CAROLE MICHELLE (APRN)
Entity Type:Individual
Prefix:MRS
First Name:CAROLE
Middle Name:MICHELLE
Last Name:COOK
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:CAROLE
Other - Middle Name:MICHELLE
Other - Last Name:KIRBY
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:315 DEADERICK ST FL 5
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37238-2104
Mailing Address - Country:US
Mailing Address - Phone:615-332-3774
Mailing Address - Fax:615-251-8759
Practice Address - Street 1:315 DEADERICK ST FL 5
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37238-2104
Practice Address - Country:US
Practice Address - Phone:615-332-3774
Practice Address - Fax:615-251-8759
Is Sole Proprietor?:No
Enumeration Date:2008-08-06
Last Update Date:2023-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN24683363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care