Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jennifer Blake Cook

Individual provider Physician Assistant · NPI 1689452146

Jennifer Blake Cook is a Physician Assistant in Petersburg, Virginia. Qualified in 2024, 2 years ago. Practices with Bon Secours Medical Group Richmond Specialty Care LLC, a 354-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Virginia.

Years since qualifying
2
Licensed in
VA
In the registry since
2023
Specialties on file
2
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Practice location Address checks out

44 Medical Park Blvd Ste D
Petersburg, VA 23805-9351
Phone: (804) 520-6730
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 520 W Fayette St Ste 300, Baltimore, MD 21201-1756 — (804) 572-3707

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 0110010449 (VA)
Physician Assistant Taxonomy 363A00000X

Record details

NPI number1689452146
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 18, 2023
Last updated in NPPESJune 12, 2025
Certification dateJune 12, 2025
Mailing address218 N Charles St Apt 2106, Baltimore, MD 21201-4026

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Bon Secours Medical Group Richmond Specialty Care Llc — 354 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Petersburg