Provider Demographics
NPI:1821034703
Name:COOKE, FRANCES LYNN (CNM)
Entity Type:Individual
Prefix:MRS
First Name:FRANCES
Middle Name:LYNN
Last Name:COOKE
Suffix:
Gender:F
Credentials:CNM
Other - Prefix:
Other - First Name:FRANCES
Other - Middle Name:LYNN
Other - Last Name:FUTRELL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CNM
Mailing Address - Street 1:700 ACADEMY ST S
Mailing Address - Street 2:
Mailing Address - City:AHOSKIE
Mailing Address - State:NC
Mailing Address - Zip Code:27910-3264
Mailing Address - Country:US
Mailing Address - Phone:252-209-3614
Mailing Address - Fax:
Practice Address - Street 1:700 ACADEMY ST S
Practice Address - Street 2:
Practice Address - City:AHOSKIE
Practice Address - State:NC
Practice Address - Zip Code:27910-3264
Practice Address - Country:US
Practice Address - Phone:252-209-3614
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-06-21
Last Update Date:2022-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC116216367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC7002036Medicaid
NC2590880Medicare PIN
Q09726Medicare UPIN