JANICE SUZANNE COCKRELL (NPI# 1306239108) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306239108 |
| Entity Type | Individual |
| Full Name | JANICE SUZANNE COCKRELL |
| Credential | FNP |
| Practice Address |
100 East Washington Street Hollandale MS 38748 |
| Mailing Address |
702 Martin Luther King Road Mound Bayou MS 38762 |
| Practice Telephone | 6628277400 |
| Practice Fax Number | 6627412700 |
| Mailing Telephone | 6627418889 |
| Mailing Fax Number | 6627412700 |
| Enumeration Date | 2015-03-18 |
| Last Update Date | 2017-11-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
R853185 | MS | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730154618 | Janice L. Cockrell | Physical Medicine & Rehabilitation | 2801 N Gantenbein Ave, Suite 2225, Portland, OR 97227-1623 | 2006-02-22 |
| Street Address |
100 EAST WASHINGTON STREET |
| City | HOLLANDALE |
| State | MS |
| Zip Code | 38748 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316314396 | Delta Health Center, Inc. | Clinic/Center | 100 East Washington Street, Hollandale, MS 38748 | 2015-08-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669023743 | Patricia Ann Hunter | Technician | 808 Thomas Street, Hollandale, MS 38748 | 2019-09-20 |
| 1023304110 | Therapy Services Unlimited LLC | Physical Therapist | 117a East Ave, Hollandale, MS 38748 | 2011-06-27 |
| 1992922769 | Community Health Needs, Inc. | Homemaker | 204 East Avenue South, Hollandale, MS 38748 | 2007-04-20 |
| 1013134022 | Serving Communities, LLC | Homemaker | 204 E Ave South, Hollandale, MS 38748 | 2007-04-19 |
| 1336263805 | Thomas Hassett | Pharmacist | 100 West Washington Street, Hollandale, MS 38748 | 2007-03-19 |
| 1245290451 | Hollandale Family Care, P.C. | Clinic/Center | 1257 Highway 61 South, Hollandale, MS 38748 | 2006-03-23 |
| 1174528616 | Hollandale Primary Care, Inc. | Clinic/Center | 1257 Hwy 61 South, Hollandale, MS 38748 | 2005-06-20 |
| 1598776924 | Kelly Drew Alexander Jr. | Dentist | 104 E Washington St, Hollandale, MS 38748 | 2006-08-10 |
| 1558455907 | City Drug Store,inc | Pharmacist | 100 W. Washington St, Hollandale, MS 38748-0426 | 2006-10-02 |
| 1578777496 | Hollandale School District | Registered Nurse | 502 W. Washinton Ave., Hollandale, MS 38748-0502 | 2007-05-09 |
| Find all providers in zip 38748 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265801682 | Holly Mahalitc | Nurse Practitioner | 1257 Highway 61 S, Hollandale, MS 38748-3864 | 2015-09-15 |
| 1790237345 | Hollandale Family Care | Nurse Practitioner | 1257 Highway 61 S, Hollandale, MS 38748-3864 | 2016-10-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982205423 | Ronequa Evans | Nurse Practitioner | 811 Clubhouse Dr, Pearl, MS 39208-7023 | 2020-11-02 |
| 1659971380 | Lucy M Barnes | Nurse Practitioner | 2401 State Blvd, Meridian, MS 39307-5033 | 2020-10-30 |
| 1952901076 | Angela Holloway | Nurse Practitioner | 1316 County Road 94, New Albany, MS 38652-8556 | 2020-10-28 |
| 1073113304 | Tasha Rucker | Nurse Practitioner | 2372 Us49-e, Sumner, MS 38957 | 2020-10-27 |
| 1881293371 | Hanna Fernandez | Nurse Practitioner | 14225 Dedeaux Rd, Gulfport, MS 39503-3369 | 2020-10-26 |
| 1285233452 | Darlene Johnson | Nurse Practitioner | 2808 Allyson Gene Cv, Byhalia, MS 38611-7359 | 2020-10-20 |
| 1447857073 | Clarissa Nicole Yarborough | Nurse Practitioner | 113 Saint John Rd, Tylertown, MS 39667-7927 | 2020-10-06 |
| 1922615616 | Jack Chandler Papa | Nurse Practitioner | 3556 May Brook Cv, Southaven, MS 38672-1006 | 2020-09-26 |
| 1205443165 | Mallory Stockstill | Nurse Practitioner | 27 Tillery Pl, Ellisville, MS 39437-4784 | 2020-09-24 |
| 1184230898 | Evelyn Michelle Rainey | Nurse Practitioner | 271 Eskridge Road, Duck Hill, MS 38925 | 2020-09-17 |
| Find all providers with the same taxonomy | ||||
| City | HOLLANDALE |
| Zip Code | 38748 |
Please comment or provide details below to improve the information on JANICE SUZANNE COCKRELL.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.