Individual
AIMEE COCKERHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
971 LAKELAND DR STE 1159, JACKSON, MS 39216-4609
(769) 251-5674
Mailing address
971 LAKELAND DR STE 1159, JACKSON, MS 39216-4609
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
904127
MS
Other
Enumeration date
09/02/2020
Last updated
11/14/2023
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