Individual
MRS. JODI KATHERINE COCKERHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP, FNP-C
Contact information
Practice address
2836 AUGUSTA RD, WEST COLUMBIA, SC 29170-3323
(813) 469-1141
Mailing address
2836 AUGUSTA RD, WEST COLUMBIA, SC 29170-3323
(803) 939-0545
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
21322
SC
363LF0000X
Family Nurse Practitioner
Primary
9221153
FL
Other
Enumeration date
04/28/2017
Last updated
10/22/2018
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