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General NPI Number Information
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NPI Number | 1700645140
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Entity Type | Individual
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Provider Name | MCKINLEY BROOKE ISAACS-COCHRAN PMHNP
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Gender | Female
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Dates
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Enumeration Date | 03/18/2024
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Last Update Date | 09/02/2026
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Provider Practice Location Address
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Address Line | 217 E MAIN ST
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City | WISE
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State | VA
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Zip | 24293-5402
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Country | US
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Telephone | 276-298-5034
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Fax | 276-213-3014
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Provider Business Mailing Address
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Address Line | 217 E MAIN ST
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City | WISE
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State | VA
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Zip | 24293-5402
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Country | US
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Telephone | 276-298-5034
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Fax | 276-213-3014
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 36088
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License Number State | TN
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Taxonomy #2
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 257386
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License Number State | TN
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Taxonomy #3
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 0024190424
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License Number State | VA
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