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

Kenneth Robert Cook, NURSEPRACTITIONER

Individual provider Family Nurse Practitioner · NPI 1831161397

Kenneth Robert Cook, NURSEPRACTITIONER is a Nurse Practitioner in Tupelo, Mississippi. Qualified in 1997, 29 years ago. Practices with North Mississippi Medical Clinics Inc, a 122-clinician group and accepts Medicare assignment. Licensed in Mississippi.

Years since qualifying
29
Licensed in
MS
In the registry since
2006
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Practice location Address checks out

410 Council Cir
Tupelo, MS 38801-4938
Phone: (662) 377-5400
Fax: (662) 377-5415
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence R867598 (MS)

Record details

NPI number1831161397
Entity typeIndividual (Type 1)
GenderMale
Credentials NURSEPRACTITIONER
Sole proprietorNo
NPI enumeratedFebruary 7, 2006
Last updated in NPPESOctober 30, 2009
Mailing address450 E President Ave, Tupelo, MS 38801-5599

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 1997 (29 years in practice)
Group practice North Mississippi Medical Clinics Inc — 122 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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