License Verification

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NICHOLE COOK

License Number: PA9106681

Data As Of 12/2/2024

Profession
Physician Assistant
License
PA9106681
License Status
CLEAR/Active
Qualifications
Prescribing
License Expiration Date
1/31/2026
License Original Issue Date
07/17/2012
Address of Record
955 Registry Blvd
Suite 117
ST AUGUSTINE, FL 32092
Controlled Substance Prescriber (for the Treatment of Chronic Non-malignant Pain)
No
Discipline on File
No
Public Complaint
No

No secondary locations found.


Name Relationship Profession License Effective Date
ANG, DARWIN NOEL Supervising Prescribing Practitioner Medical Doctor 101355 12/21/2018
CLARK, JASON MICHAEL MD Supervising Prescribing Practitioner Medical Doctor 111874 12/21/2018
HAGAN, JOSHUA DENNIS Supervising Prescribing Practitioner Medical Doctor 115394 12/21/2018
JENKINS, FREDERICK LUCAS Supervising Prescribing Practitioner Medical Doctor 83245 03/01/2024
RICHARDS, WINSTON Supervising Prescribing Practitioner Medical Doctor 94661 12/21/2018
WATSON, CARRIE Supervising Prescribing Practitioner Osteopathic Physician 14726 12/21/2018

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Name Relationship Profession License Effective Date

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Name Relationship Profession License Effective Date

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No Continuing Education Hours Received from Approved Providers As Of 12/2/2024



* To find out more about Approved Providers, or ask a provider why the course you took is not yet listed, please visit our Continuing Education Providers page.


** Personal Development is limited to no more than 3 hours per renewal cycle. Any personal development hours in excess of this 3 hour maximum cannot be used for renewal and have been subtracted from the total available for renewal.


Please do not fax proof of Continuing Education hours to the Board Office until you have received your renewal notice in the mail.


For instructions on how to request a license certification of your Florida license to be sent to another state from the Florida Department of Health, please visit the License Certifications web page.