| Domonique Nikki Cochran, FNP | |
|
7001 Hwy 614, Hurley, MS 39555 | |
| (228) 588-2938 | |
| (228) 588-9399 |
| Full Name | Domonique Nikki Cochran |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 14 Years |
| Location | 7001 Hwy 614, Hurley, Mississippi |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861761348 | NPI | - | NPPES |
| 09336715 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | R854690 (Mississippi) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Deaconess Homecare- Region 1 | Laurel, MS | Home health agency |
| Singing River Health System | Pascagoula, MS | Hospital |
| Garden Park Medical Center | Gulfport, MS | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Singing River Health System | 3870405194 | 243 |
| Exceed Physical Therapy, Llc | 8123378338 | 52 |
| Entity Name | Singing River Health System |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1083893937 PECOS PAC ID: 3870405194 Enrollment ID: O20031104000435 |
| Entity Name | Singing River Gulfport |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1861010159 PECOS PAC ID: 5294154829 Enrollment ID: O20201001001497 |
| Mailing Address | Practice Location Address |
|---|---|
| Domonique Nikki Cochran, FNP Po Box 850, Hurley, MS 39555-0850 Ph: (228) 588-2938 | Domonique Nikki Cochran, FNP 7001 Hwy 614, Hurley, MS 39555 Ph: (228) 588-2938 |
Anthony T Tanner, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 7001 Hwy 614, Hurley, MS 39555 Phone: 228-588-2938 Fax: 228-588-9399 | |
Ashley Williams Becker, CPNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 7001 Hwy 614, Hurley, MS 39555 Phone: 228-588-6622 |