Doctor Name: | MISS JENNIFER KATHLEEN COCKLEY |
NPI Number: | 1174868053 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RN |
License Number: | RN276929 |
Business Practice Address: | 22961 Burlington Gardens St Archbold, OH - 435029314 |
Business Phone Number: | 4195599467 |
Business Fax Number: | |
Mailing Address: | 22961 Burlington Gardens St, ARCHBOLD |
State: | OH |
Postal Code: | 435029314 |
Phone Number: | 4195599467 |
Fax Number: | |
NPI Enumeration Date: | 12/04/2012 |
NPI Last Update Date: | 12/04/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WH0200X |
License Number: | RN276929 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | OH |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | Home Health |
Taxonomy Definition: |