Provider Demographics
NPI:1497926265
Name:COCHRAN, LINDY N (CFNP)
Entity Type:Individual
Prefix:MRS
First Name:LINDY
Middle Name:N
Last Name:COCHRAN
Suffix:
Gender:F
Credentials:CFNP
Other - Prefix:
Other - First Name:LINDY
Other - Middle Name:N
Other - Last Name:CASSELL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CFNP
Mailing Address - Street 1:601 N 15TH AVE
Mailing Address - Street 2:
Mailing Address - City:LAUREL
Mailing Address - State:MS
Mailing Address - Zip Code:39440-3839
Mailing Address - Country:US
Mailing Address - Phone:601-651-6362
Mailing Address - Fax:601-651-6076
Practice Address - Street 1:601 N 15TH AVE
Practice Address - Street 2:
Practice Address - City:LAUREL
Practice Address - State:MS
Practice Address - Zip Code:39440-3839
Practice Address - Country:US
Practice Address - Phone:601-323-1920
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-03-19
Last Update Date:2023-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MSR865733363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
MS02604808Medicaid
MS30250I9206Medicare Oscar/Certification
MS512I500324Medicare Oscar/Certification