Individual
MRS. TRISHA ANNE COCKRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
3889 S JACKSON DR, INDEPENDENCE, MO 64057-1927
(660) 233-2291
Mailing address
3889 S JACKSON DR, INDEPENDENCE, MO 64057-1927
(660) 233-2291
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
2016003665
MO
Other
Enumeration date
02/06/2016
Last updated
03/10/2022
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