Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Deundra T Cooke, PMHNP-BC

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1306312517

Deundra T Cooke, PMHNP-BC is a Nurse Practitioner in Anderson, South Carolina. Qualified in 2010, 16 years ago. Practices with Upstate Wellness Center LLC, a 10-clinician group and accepts Medicare assignment. Licensed in South Carolina.

Years since qualifying
16
Licensed in
SC
In the registry since
2018
What do these letters mean?
PMHNP-BC — Psychiatric-Mental Health Nurse Practitioner, Board Certified
A board-certified psychiatric nurse practitioner.

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Practice location Address checks out

102 Buford Ave
Anderson, SC 29621-3363
Phone: (864) 261-9506
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 22322 (SC)

Record details

NPI number1306312517
Entity typeIndividual (Type 1)
GenderFemale
Credentials PMHNP-BC
Sole proprietorYes
NPI enumeratedOctober 16, 2018
Last updated in NPPESOctober 16, 2018

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2010 (16 years in practice)
Group practice Upstate Wellness Center Llc — 10 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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