Individual
JENNIFER ALICE COCKELS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
9216 MIDDLEBELT RD, LIVONIA, MI 48150-4036
(734) 425-3700
Mailing address
9216 MIDDLEBELT RD, LIVONIA, MI 48150-4036
(734) 796-3063
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
4704253668
MI
363LF0000X
Family Nurse Practitioner
Primary
4704253668
MI
Other
Enumeration date
03/09/2016
Last updated
07/13/2016
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