Cockrell, Brandie Jolie

Cockrell, Brandie Jolie is an individual health care provider with primary practice located at 609 W Maple Ave , Springdale AR 72764-5335. 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. Cockrell, Brandie Jolie can be contacted via phone (479) 751-5711.

Contact Information

Primary practice address
609 W Maple Ave Springdale AR 72764-5335
Phone: (479) 751-5711
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 2006030339 Missouri
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X C002652 Arkansas

Profile Details

NPI number 1154460061
LBN Legal business name Cockrell, Brandie Jolie
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 6th, 2007
Last updated Mar 9th, 2022 - about 2 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 1154460061 NPPES
Arkansas MEDICAID 181380001

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