| NPI | 1225844988 |
|---|---|
| Former Name | KORTNEY LYNN COCKRELL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MO 2025003624) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MO 2016002331) |
| Enumeration Date | 2024-12-07 |
| Last Update Date | 2025-02-10 |