Provider Demographics
NPI:1174680755
Name:COOKSEY, LORRIE BECKHAM (APRN BC FNP)
Entity Type:Individual
Prefix:MRS
First Name:LORRIE
Middle Name:BECKHAM
Last Name:COOKSEY
Suffix:
Gender:F
Credentials:APRN BC FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:80 LEWIS ST
Mailing Address - Street 2:
Mailing Address - City:SAVANNAH
Mailing Address - State:TN
Mailing Address - Zip Code:38372-3109
Mailing Address - Country:US
Mailing Address - Phone:731-400-4889
Mailing Address - Fax:731-400-4890
Practice Address - Street 1:80 LEWIS ST
Practice Address - Street 2:
Practice Address - City:SAVANNAH
Practice Address - State:TN
Practice Address - Zip Code:38372-3109
Practice Address - Country:US
Practice Address - Phone:731-400-4889
Practice Address - Fax:731-400-4890
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-02
Last Update Date:2023-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNRN0000125050163W00000X
TNAPN0000012311363LF0000X, 363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN1514734Medicaid
TN1514734Medicaid