person
Judith Blackman-cockran, APRN
Pediatric Nurse Practitioner in Groton, Connecticut
NPI 1548331390

Judith Blackman-cockran is a Pediatric Nurse Practitioner based in Groton, CT and is specialized in Pediatrics. Judith Blackman-cockran practices in Groton, CT and has the professional credentials of APRN. The NPI Number for Judith Blackman-cockran is 1548331390 and holds a License No. 001870 (Connecticut).

The current practice location address for Judith Blackman-cockran is 495 Gold Star Hwy, Groton, CT and can be reached out via phone at 860-449-8882 and via fax at 860-449-9195.

Location: 495 Gold Star Hwy, Groton, CT, 06340-6228
person
Provider Profile Details
NPI Number
1548331390
Provider Name
Judith Blackman-cockran
Credential
APRN
Provider Entity Type
Individual
Gender
Female
Address
495 Gold Star Hwy, Groton, CT, 06340-6228
Phone Number
860-449-8882
Fax Number
860-449-9195
Provider Enumeration Date
11/13/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2V4030 01 HEALTH NET
101870 01 CONNECTICARE
004238235 05 CT
institution
Provider Business Practice Location Address Details
Address
495 Gold Star Hwy
City
State
Zip
06340-6228
Phone Number
860-449-8882
Fax Number
860-449-9195
person
Provider Business Mailing Address Details
Address
495 Gold Star Hwy
City
State
Zip
06340-6228
Phone Number
860-449-8882
Fax Number
860-449-9195
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Pediatrics
Taxonomy
License No.
001870 (Connecticut)
Definition
Definition to come...
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