Individual
MS. JIMMIE COCHRAN ROSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, DNP, FNP-BC
Contact information
Practice address
126 TOULINE ST., NATCHITOCHES, LA 71457
(318) 238-7083
Mailing address
126 TOULINE ST, NATCHITOCHES, LA 71457-4639
(318) 238-7083
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN039849 AP03788
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2169441
—
LA
Enumeration date
02/23/2011
Last updated
06/20/2012
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