Provider Demographics
NPI:1407954977
Name:COCHRAN, JANET JOY (APRN)
Entity Type:Individual
Prefix:MRS
First Name:JANET
Middle Name:JOY
Last Name:COCHRAN
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2200 SUMMERLON CIRCLE
Mailing Address - Street 2:SUITE A
Mailing Address - City:DODGE CITY
Mailing Address - State:KS
Mailing Address - Zip Code:67801-2905
Mailing Address - Country:US
Mailing Address - Phone:620-408-9700
Mailing Address - Fax:620-408-9701
Practice Address - Street 1:2200 SUMMERLON CIRCLE
Practice Address - Street 2:SUITE A
Practice Address - City:DODGE CITY
Practice Address - State:KS
Practice Address - Zip Code:67801-2905
Practice Address - Country:US
Practice Address - Phone:620-408-9700
Practice Address - Fax:620-408-9701
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-20
Last Update Date:2021-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS44741363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS100341840DMedicaid
KS100341840CMedicaid
KS12913OtherPHS
KS161606Medicare PIN
KS100341840DMedicaid