Provider Demographics
NPI:1609842483
Name:COOK, HELEN MARIE-SMITH (ARNP)
Entity Type:Individual
Prefix:MRS
First Name:HELEN
Middle Name:MARIE-SMITH
Last Name:COOK
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:139 12TH ST
Mailing Address - Street 2:
Mailing Address - City:APALACHICOLA
Mailing Address - State:FL
Mailing Address - Zip Code:32320-2110
Mailing Address - Country:US
Mailing Address - Phone:850-635-2111
Mailing Address - Fax:850-653-2160
Practice Address - Street 1:139 12TH ST
Practice Address - Street 2:
Practice Address - City:APALACHICOLA
Practice Address - State:FL
Practice Address - Zip Code:32320-2110
Practice Address - Country:US
Practice Address - Phone:850-635-2111
Practice Address - Fax:850-653-2160
Is Sole Proprietor?:No
Enumeration Date:2006-02-23
Last Update Date:2013-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL1265862363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL304543900Medicaid