Individual
MRS. LINDA B COCKROFT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
530 VETERANS MEMORIAL DR, KOSCIUSKO, MS 39090-3858
(662) 289-9155
(662) 289-2776
Mailing address
PO BOX 23996, JACKSON, MS 39225-3996
(601) 206-6100
(601) 206-6052
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R623954
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
05135821
—
MS
Enumeration date
07/23/2007
Last updated
03/17/2014
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