Provider Demographics
NPI:1225215858
Name:COBB, CHRISTINE (RN, CNL)
Entity Type:Individual
Prefix:MRS
First Name:CHRISTINE
Middle Name:
Last Name:COBB
Suffix:
Gender:F
Credentials:RN, CNL
Other - Prefix:
Other - First Name:CHRISTINE
Other - Middle Name:
Other - Last Name:DUBOIS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:105 SE 16TH AVE
Mailing Address - Street 2:APT. N104
Mailing Address - City:GAINESVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32601-0547
Mailing Address - Country:US
Mailing Address - Phone:352-262-5441
Mailing Address - Fax:
Practice Address - Street 1:801 SW 2ND AVE
Practice Address - Street 2:
Practice Address - City:GAINESVILLE
Practice Address - State:FL
Practice Address - Zip Code:32601-6210
Practice Address - Country:US
Practice Address - Phone:352-733-0111
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-01-25
Last Update Date:2008-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRN9191138163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse