Individual
JOCELYN MARIE COBB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA00522
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0013420
MEDICARE PTAN
RI
05
—
JC77776
—
RI
Enumeration date
10/07/2009
Last updated
10/13/2015
Update your record
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