Individual
MRS. LYNDA ELIZABETH BOCKMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP-BC, ACNP-BC
Contact information
Practice address
2101 MULBERRY AVE, MOUNT PLEASANT, TX 75455-1105
(903) 434-4850
(903) 434-4899
Mailing address
1040 S FLEISHEL AVE, TYLER, TX 75701-2031
(903) 533-8702
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
AP114362
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000560448001
BLUE CROSS BLUE SHIELD
NY
05
—
01951633
—
NY
05
—
189237401
—
TX
01
—
752616977008
TRICARE
TX
01
—
8Y2322
BCBS
TX
Enumeration date
05/08/2007
Last updated
04/27/2026
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