Provider Demographics
NPI:1972964229
Name:COOKS-THOMAS, BRANDY LETRICE (FNP-C, PMHNP-BC)
Entity Type:Individual
Prefix:MRS
First Name:BRANDY
Middle Name:LETRICE
Last Name:COOKS-THOMAS
Suffix:
Gender:F
Credentials:FNP-C, PMHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 115
Mailing Address - Street 2:
Mailing Address - City:DELHI
Mailing Address - State:LA
Mailing Address - Zip Code:71232-0115
Mailing Address - Country:US
Mailing Address - Phone:601-642-8770
Mailing Address - Fax:
Practice Address - Street 1:9418 BROOKLINE AVE
Practice Address - Street 2:
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70809-1428
Practice Address - Country:US
Practice Address - Phone:225-930-2993
Practice Address - Fax:225-930-2991
Is Sole Proprietor?:No
Enumeration Date:2016-03-15
Last Update Date:2022-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAAP08681363LF0000X, 363LP0808X
TX1019032363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily