Healthcare Provider Details

I. General information

NPI: 1093037731
Provider Name (Legal Business Name): MELISSA NORMA COCKRELL APRN, NP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/23/2010
Last Update Date: 08/18/2026
Certification Date: 08/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1131 E INTERNATIONAL AIRPORT RD
ANCHORAGE AK
99518-1416
US

IV. Provider business mailing address

138 COUNTY ROAD 575
ENGLEWOOD TN
37329-5129
US

V. Phone/Fax

Practice location:
  • Phone: 907-279-4351
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberCNP251884
License Number StateME
# 2
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberAPN0000014688
License Number StateTN
# 3
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberNURU1367
License Number StateAK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: