MEDICARE: HAYLEE COCHRAN

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	107198	WV

General Provider Information

NPI Number	:	1598696569
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HAYLEE COCHRAN

Provider Business Mailing Address
First Line	:	527 MEDICAL PARK DR # D
Second Line	:
City	:	BRIDGEPORT
State	:	WV
Zip	:	26330-9008
Country	:	US
Telephone Number	:	681-342-1000
Fax Number	:

Provider Business Practice Location Address
First Line	:	527 MEDICAL PARK DR STE 402
Second Line	:
City	:	BRIDGEPORT
State	:	WV
Zip	:	26330-9010
Country	:	US
Telephone Number	:	681-342-1000
Fax Number	:

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

Provider Enumeration Date	:	05/27/2026
Last Update Date	:	05/27/2026

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Directions to “ HAYLEE COCHRAN ” Practice Location

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