Provider Demographics
NPI:1740494731
Name:COOK, DONNA JEAN (CNP)
Entity type:Individual
Prefix:
First Name:DONNA
Middle Name:JEAN
Last Name:COOK
Suffix:
Gender:F
Credentials:CNP
Other - Prefix:
Other - First Name:DONNA
Other - Middle Name:
Other - Last Name:MORRIS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CNP
Mailing Address - Street 1:1481 GREYSTONE LN
Mailing Address - Street 2:
Mailing Address - City:MILFORD
Mailing Address - State:OH
Mailing Address - Zip Code:45150-9526
Mailing Address - Country:US
Mailing Address - Phone:513-722-2770
Mailing Address - Fax:513-575-3822
Practice Address - Street 1:234 GOODMAN ST
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45219-2364
Practice Address - Country:US
Practice Address - Phone:513-349-6369
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHCOA 06426363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily