Individual
JILL D COCHRAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RNC FNP
Contact information
Practice address
1464 JEFFERSON ST N, LEWISBURG, WV 24901-1380
(304) 645-3220
(844) 479-4545
Mailing address
1464 JEFFERSON ST N, LEWISBURG, WV 24901-1380
(304) 645-3220
(844) 479-4545
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
25636
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0166582000
—
WV
Enumeration date
02/01/2006
Last updated
04/03/2020
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