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Tanya Cockrell, FNP
Family Nurse Practitioner in Columbus, Mississippi
NPI 1063838480

Tanya Cockrell is a Family Nurse Practitioner based in Columbus, MS and is specialized in Family. Tanya Cockrell practices in Columbus, MS and has the professional credentials of FNP. The NPI Number for Tanya Cockrell is 1063838480 and holds a License No. R874320 (Mississippi).

The current practice location address for Tanya Cockrell is 1324 Military Rd, Columbus, MS and can be reached out via phone at 662-630-5001.

Location: 1324 Military Rd, Columbus, MS, 39701-3616
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1063838480
Provider Name
Tanya Cockrell
Credential
FNP
Provider Entity Type
Individual
Gender
Female
Address
1324 Military Rd, Columbus, MS, 39701-3616
Phone Number
662-630-5001
Fax Number
Provider Enumeration Date
03/10/2014
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
02928257 05 MS
institution
Provider Business Practice Location Address Details
Address
1324 Military Rd
City
Columbus
State
Mississippi
Zip
39701-3616
Phone Number
662-630-5001
Fax Number
person
Provider Business Mailing Address Details
Address
1324 Military Rd
City
Columbus
State
Mississippi
Zip
39701-3616
Phone Number
662-630-5001
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
R874320 (Mississippi)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
363LP0808X
License No.
R874320 (Mississippi)
Definition
Definition to come...
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