Individual
MR. MARK JASON COBB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNP - AGACNP-BC
Contact information
Practice address
600 S 3RD ST, GADSDEN, AL 35901-5304
(256) 282-6082
Mailing address
PO BOX 136, OHATCHEE, AL 36271-0136
(256) 282-6082
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
1-116446
AL
363LA2100X
Acute Care Nurse Practitioner
Primary
1-116446
AL
363LA2200X
Adult Health Nurse Practitioner
1-116446
AL
363LC0200X
Critical Care Medicine Nurse Practitioner
1-116446
AL
363LC1500X
Community Health Nurse Practitioner
1-116446
AL
363LG0600X
Gerontology Nurse Practitioner
1-116446
AL
Other
Enumeration date
02/20/2020
Last updated
02/20/2020
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