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CHASITY MICHELLE COCKERHAM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP-C

Contact information

Practice address
2124 14TH ST, MERIDIAN, MS 39301-4040
(601) 553-6000
Mailing address
14650 ROAD 210, UNION, MS 39365-7128
(601) 917-6915

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
905903
MS
363LF0000X
Family Nurse Practitioner
R896405
MS

Other

Enumeration date
03/06/2023
Last updated
03/21/2025
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