Provider Demographics
NPI:1841670163
Name:COOK-YARWORTH, JEANNINE ROCHELLE (RN,MSN)
Entity type:Individual
Prefix:MRS
First Name:JEANNINE
Middle Name:ROCHELLE
Last Name:COOK-YARWORTH
Suffix:
Gender:F
Credentials:RN,MSN
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:7055 SAMUEL MORSE DR
Mailing Address - Street 2:SUITE 200
Mailing Address - City:COLUMBIA
Mailing Address - State:MD
Mailing Address - Zip Code:21046-3439
Mailing Address - Country:US
Mailing Address - Phone:443-280-8147
Mailing Address - Fax:141-051-0126
Practice Address - Street 1:7055 SAMUEL MORSE DR
Practice Address - Street 2:SUITE 200
Practice Address - City:COLUMBIA
Practice Address - State:MD
Practice Address - Zip Code:21046-3439
Practice Address - Country:US
Practice Address - Phone:443-280-8147
Practice Address - Fax:141-051-0126
Is Sole Proprietor?:No
Enumeration Date:2015-06-02
Last Update Date:2015-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR111126163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse