IndividualActive
Shelly Cook, CNA
NPI 1407741804 · Nurse's Aide · Meridian, MS
Provider details
- NPI number
- 1407741804
- Entity type
- Individual
- Primary specialty
- Nurse's AideNursing Service Related Providers
- Credential
- CNA
- Sex
- Female
- Sole proprietor
- Yes
- License
- 10087102 (MS)
Specialties & taxonomies
Nursing Service Related Providers
Practice location
11644 Old Highway 80 W
Meridian, MS 39307-9722
Phone: (769) 372-5961
Approximate (ZIP-level) locationGet directions
Mailing address
11644 Old Highway 80 W
Meridian, MS 39307-9722
Registry dates
- Enumerated
- 2025-06-09
- Last updated
- 2025-06-09
- Certified
- 2025-06-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.