Cochran, Jessica

Cochran, Jessica is an individual health care provider with primary practice located at 202 Maplewood Ave , Ronceverte WV 24970-1334. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as her primary health care specialty. Cochran, Jessica can be contacted via phone (304) 647-6549.

Contact Information

Primary practice address
202 Maplewood Ave Ronceverte WV 24970-1334
Phone: (304) 647-6549
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 59214 West Virginia

Profile Details

NPI number 1912934688
LBN Legal business name Cochran, Jessica
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 27th, 2006
Last updated Mar 18th, 2013 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1912934688 NPPES
West Virginia MEDICAID 3810005380

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