MEDICARE: APRIL COCKERHAM MSN, RN, APRN, FNP-C

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	AP131137	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	AP131137	OTHER	TX	LICENSE

General Provider Information

NPI Number	:	1093165870
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	APRIL COCKERHAM MSN, RN, APRN, FNP-C

Provider Business Mailing Address
First Line	:	538 BROADWAY
Second Line	:
City	:	WINNIE
State	:	TX
Zip	:	77665-7600
Country	:	US
Telephone Number	:	409-296-6000
Fax Number	:

Provider Business Practice Location Address
First Line	:	85 IH 10 N STE 112
Second Line	:
City	:	BEAUMONT
State	:	TX
Zip	:	77707-2560
Country	:	US
Telephone Number	:	409-239-5139
Fax Number	:	409-347-8856

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/13/2016
Last Update Date	:	03/06/2023

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