Individual
STACIE SMITH COCKERHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
601 N ELM ST, HIGH POINT, NC 27262-4331
(336) 878-6000
(336) 878-6010
Mailing address
100 KIMEL FOREST DR, WINSTON SALEM, NC 27103-6074
(336) 716-2255
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
5014106
NC
Other
Enumeration date
02/10/2021
Last updated
12/29/2025
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