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General NPI Number Information
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NPI Number | 1417677766
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Entity Type | Individual
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Provider Name | ALEXANDRIA COBB
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Gender | Female
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Dates
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Enumeration Date | 08/29/2022
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Last Update Date | 06/18/2025
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Provider Practice Location Address
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Address Line | 4200 13TH STREET
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City | GULFPORT
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State | MS
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Zip | 39501
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Country | US
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Telephone | 228-865-3281
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Fax |
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Provider Business Mailing Address
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Address Line | 24048 BOBCAT TRL
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City | SAUCIER
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State | MS
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Zip | 39574-4508
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Country | US
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Telephone | 228-219-8491
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | 901982
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License Number State | MS
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