Doctor Name: | MRS. LINDA B COCKROFT |
NPI Number: | 1477753929 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | FNP |
License Number: | R623954 |
Business Practice Address: | 530 Veterans Memorial Dr Kosciusko, MS - 390903858 |
Business Phone Number: | 6622899155 |
Business Fax Number: | 6622892776 |
Mailing Address: | Po Box 23996, JACKSON |
State: | MS |
Postal Code: | 392253996 |
Phone Number: | 6012066100 |
Fax Number: | 6012066052 |
NPI Enumeration Date: | 07/23/2007 |
NPI Last Update Date: | 03/17/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | R623954 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MS |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |