Individual
MISS JENNIFER KATHLEEN COCKLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
22961 BURLINGTON GARDENS ST, ARCHBOLD, OH 43502-9314
(419) 559-9467
Mailing address
22961 BURLINGTON GARDENS ST, ARCHBOLD, OH 43502-9314
(419) 559-9467
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN276929
OH
163WH0200X
Home Health Registered Nurse
RN276929
OH
163WW0000X
Wound Care Registered Nurse
RN276929
OH
Other
Enumeration date
12/04/2012
Last updated
12/04/2012
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