Domonique Nikki Cochran, FNP | |
7001 Hwy 614, Hurley, MS 39555 | |
(228) 588-2938 | |
(228) 588-9399 |
Full Name | Domonique Nikki Cochran |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 13 Years |
Location | 7001 Hwy 614, Hurley, Mississippi |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1861761348 | NPI | - | NPPES |
09336715 | Medicaid | MS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | R854690 (Mississippi) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Deaconess Homecare- Region 1 | Laurel, MS | Home health agency |
Singing River Health System | Pascagoula, MS | Hospital |
George Regional Health System | Lucedale, MS | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Singing River Health System | 3870405194 | 159 |
Entity Name | Singing River Health System |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1083893937 PECOS PAC ID: 3870405194 Enrollment ID: O20031104000435 |
Entity Name | Singing River Gulfport |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1861010159 PECOS PAC ID: 5294154829 Enrollment ID: O20201001001497 |
Mailing Address | Practice Location Address |
---|---|
Domonique Nikki Cochran, FNP Po Box 850, Hurley, MS 39555-0850 Ph: (228) 588-2938 | Domonique Nikki Cochran, FNP 7001 Hwy 614, Hurley, MS 39555 Ph: (228) 588-2938 |
Anthony T Tanner, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 7001 Hwy 614, Hurley, MS 39555 Phone: 228-588-2938 Fax: 228-588-9399 | |
Ashley Williams Becker, CPNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 7001 Hwy 614, Hurley, MS 39555 Phone: 228-588-6622 |