Cockrell, Tanya

Cockrell, Tanya is an individual health care provider with primary practice located at 1324 Military Rd , Columbus MS 39701-3616. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Cockrell, Tanya can be contacted via phone (662) 630-5001.

Contact Information

Primary practice address
1324 Military Rd Columbus MS 39701-3616
Phone: (662) 630-5001
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X R874320 Mississippi
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X R874320 Mississippi

Profile Details

NPI number 1063838480
LBN Legal business name Cockrell, Tanya
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 10th, 2014
Last updated Feb 14th, 2023 - about 3 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 1063838480 NPPES
Mississippi MEDICAID 02928257

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