Cooke, Vicky Leigh

Cooke, Vicky Leigh is an sole proprietor health care provider with primary practice located at 1017 Executive Dr Ste 101 , Hixson TN 37343-7911. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Cooke, Vicky Leigh can be contacted via phone (423) 287-5720.

Contact Information

Primary practice address
1017 Executive Dr Ste 101 Hixson TN 37343-7911
Phone: (423) 287-5720
Fax: (423) 633-1880
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X RN1300077 Tennessee
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 8150 Tennessee

Profile Details

NPI number 1912013426
LBN Legal business name Cooke, Vicky Leigh
Credentials ANP-C
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 21st, 2006
Last updated Mar 26th, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1912013426 NPPES
Tennessee MEDICAID Q090873
Tennessee MEDICAID 3902922
Tennessee Other 4090393

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