Individual
LILLIAN COCKRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
813 FRANKLIN ST SE, HUNTSVILLE, AL 35801-4311
(256) 519-3650
Mailing address
813 FRANKLIN ST SE, HUNTSVILLE, AL 35801-4311
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
1-090406
AL
363LF0000X
Family Nurse Practitioner
Primary
1090406
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
528400480
—
AL
Enumeration date
08/03/2016
Last updated
06/06/2019
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