| Doctor Name: | YOLANDA R COCKERHAM |
| NPI Number: | 1003066606 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | APRN |
| License Number: | AP05605 |
| Business Practice Address: | 11990 Jackson St Clinton, LA - 70722 |
| Business Phone Number: | 2256835292 |
| Business Fax Number: | 2256833411 |
| Mailing Address: | Po Box 395, CLINTON |
| State: | LA |
| Postal Code: | 707220395 |
| Phone Number: | 2256835292 |
| Fax Number: | 2256833411 |
| NPI Enumeration Date: | 09/19/2008 |
| NPI Last Update Date: | 01/06/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | AP05605 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | LA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |