Essie Cockrell, RN

Individual provider Active NPI School Registered Nurse · Clinton, LA

NPI 1255769352 · NPPES record last updated Oct 29, 2013

Key facts

NPI
1255769352
Entity type
Individual (NPI type 1)
Primary specialty
School Registered Nurse 163WS0200X
License
RN030163 (LA)
Practice address
11990 Jackson St
Clinton, LA 70722-3210
Phone
(225) 683-5292
Fax
(225) 683-3411
NPI assigned
Oct 29, 2013
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN030163LAMDSchool Registered Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
School Registered Nurse 163WS0200X RN030163 LA Yes

Addresses

Primary practice location

11990 Jackson St
Clinton, LA 70722-3210

Mailing address

PO Box 395
Clinton, LA 70722-0395
Phone (225) 683-5292

Other names

  • Essie S Cockrell Professional name

Other providers in Clinton, LA

All providers in Clinton, LA · School Registered Nurse in Louisiana

Sources for this page

Verify at the official NPI Registry.