Judith Blackman-Cockran, APRN
Nurse Practitioner, Pediatrics in Groton, Connecticut
1548331390- Practice location
- 495 Gold Star Hwy, Suite 120, Groton, CT 06340-6228
- Phone
- 860-449-8882
- Fax
- 860-449-9195
- Last updated
- July 8, 2007
Judith Blackman-Cockran is a Nurse Practitioner, Pediatrics based in Groton, CT. 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 (CT). The current practice location address for Judith Blackman-Cockran is 495 Gold Star Hwy, Suite 120, Groton, CT 06340-6228 and can be reached out via phone at 860-449-8882 and via fax at 860-449-9195.
Provider Profile Details
- NPI Number
- 1548331390
- Provider Name
- Judith Blackman-Cockran
- Credential
- APRN
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 495 Gold Star Hwy, Suite 120, Groton, CT 06340-6228
- Phone Number
- 860-449-8882
- Fax Number
- 860-449-9195
- Primary Taxonomy
- Nurse Practitioner, Pediatrics · 363LP0200X
- Sole Proprietor
- No
- Other Names
- Mrs. Judith A Blackman, CPNP (Other Name)
- Provider Enumeration Date
- November 13, 2006
- Last Update Date
- July 8, 2007
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 495 Gold Star Hwy
Suite 120
Groton, CT 06340-6228 - City
- Groton
- State
- Connecticut
- Zip
- 06340-6228
- Phone Number
- 860-449-8882
- Fax Number
- 860-449-9195
Provider Business Mailing Address Details
- Address
- 495 Gold Star Hwy
Suite 120
Groton, CT 06340-6228 - City
- Groton
- State
- CT
- Zip
- 06340-6228
- Phone Number
- 860-449-8882
- Fax Number
- 860-449-9195
License Information
- License Number
- 001870
- License State
- CT
- Taxonomy
- Nurse Practitioner, Pediatrics · 363LP0200X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Judith Blackman-Cockran, APRN?
The NPI number of Judith Blackman-Cockran, APRN is 1548331390. It was assigned on November 13, 2006 and is currently active in the NPPES registry.
What is the specialty of Judith Blackman-Cockran, APRN?
Judith Blackman-Cockran, APRN is registered under the primary taxonomy Nurse Practitioner, Pediatrics (code 363LP0200X), licensed in CT under license number 001870.
Where does Judith Blackman-Cockran, APRN practice?
The practice location is 495 Gold Star Hwy, Suite 120, Groton, CT 06340-6228. The office can be reached at 860-449-8882 (phone) or 860-449-9195 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1548331390 directly on the NPPES registry website.