Individual
MS. CHONNIE LAINE COCKROFT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
1805 S STATE ROAD 57, WASHINGTON, IN 47501-4326
(812) 254-7845
(812) 254-5989
Mailing address
PO BOX 760, WASHINGTON, IN 47501-0760
(812) 254-7310
(812) 257-8062
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
71013591A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
71013591A
INDIANA BOARD OF NURSING
IN
Enumeration date
02/20/2023
Last updated
04/20/2023
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