Provider Demographics
NPI:1952008633
Name:COX, MOLLY (CRNP)
Entity Type:Individual
Prefix:
First Name:MOLLY
Middle Name:
Last Name:COX
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4006 HIGHWAY 43 S
Mailing Address - Street 2:
Mailing Address - City:SAINT JOSEPH
Mailing Address - State:TN
Mailing Address - Zip Code:38481-5109
Mailing Address - Country:US
Mailing Address - Phone:931-242-8400
Mailing Address - Fax:
Practice Address - Street 1:1369A GEORGE WALLACE HWY
Practice Address - Street 2:
Practice Address - City:RUSSELLVILLE
Practice Address - State:AL
Practice Address - Zip Code:35654-3281
Practice Address - Country:US
Practice Address - Phone:256-333-4118
Practice Address - Fax:256-333-4031
Is Sole Proprietor?:No
Enumeration Date:2023-02-13
Last Update Date:2023-11-03
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TN33356363LP2300X
AL3-001422363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily