MEDICARE: LINDA COCKRELL NP

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	363L00000X	Nurse Practitioner	R747936	MS

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	202011213A	OTHER	MS	BLUE CROSS

General Provider Information

NPI Number	:	1134163512
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LINDA COCKRELL NP

Provider Business Mailing Address
First Line	:	703 FARMER ST
Second Line	:
City	:	PORT GIBSON
State	:	MS
Zip	:	39150-2319
Country	:	US
Telephone Number	:	601-437-3037
Fax Number	:	601-437-4315

Provider Business Practice Location Address
First Line	:	703 FARMER ST
Second Line	:
City	:	PORT GIBSON
State	:	MS
Zip	:	39150-2319
Country	:	US
Telephone Number	:	601-437-3037
Fax Number	:	601-437-4315

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

Provider Enumeration Date	:	06/15/2006
Last Update Date	:	07/29/2008

Similar Medicare Providers

1104851161 — MRS. CHARLENE DAVIS KING DNP, FPMHNP-BC
Practice Location Address:

713 FARMER ST
PORT GIBSON, MS
39150-2319

Practice Phone: 601-448-5176
Practice Fax: 601-448-5197

1487708525 — DR. TANYA SAVAGE ANDERSON M.D.
Practice Location Address:

703B FARMER ST
PORT GIBSON, MS
39150-2319

Practice Phone: 601-437-5668
Practice Fax:

1457544066 — FAMILY WELLNESS CLINIC LLC
Practice Location Address:

703B FARMER ST
PORT GIBSON, MS
39150-2319

Practice Phone: 601-437-5668
Practice Fax: 601-437-4533

1942552732 — DAN ELLIS GNP INC
Practice Location Address:

703B FARMER ST
PORT GIBSON, MS
39150-2319

Practice Phone: 601-529-2871
Practice Fax: 601-629-9969

1023449329 — KINGS PSYCHIATRIC SERVICES LLC
Practice Location Address:

713 FARMER ST
PORT GIBSON, MS
39150-2319

Practice Phone: 601-448-5176
Practice Fax: 601-448-5197

1578377404 — DR. EDITH IFEYINWA EZEKWE RDN, ASCP,
Practice Location Address:

703 FARMER ST
PORT GIBSON, MS
39150-2319

Practice Phone: 601-437-5668
Practice Fax:

Directions to “ LINDA COCKRELL NP” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.