| NPI | 1700853496 |
|---|---|
| Former Name | JEANNE COCKRUM |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 364SX0200X Clinical Nurse Specialist, Oncology (Licence: IL 277000260) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IL 041300447) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: IL 041-300447) | |
| Enumeration Date | 2006-03-02 |
| Last Update Date | 2020-07-20 |