Jody Lynn Cochran, CRNP | |
10260 Silverside St Ste 200, Ijamsville, MD 21754-9174 | |
(301) 682-4100 | |
(240) 744-1540 |
Full Name | Jody Lynn Cochran |
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Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 10260 Silverside St Ste 200, Ijamsville, Maryland |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1114736691 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | R215335 (Maryland) | Primary |
Entity Name | Privia Care Center Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1164874426 PECOS PAC ID: 3274801139 Enrollment ID: O20170619000055 |
Mailing Address | Practice Location Address |
---|---|
Jody Lynn Cochran, CRNP 10260 Silverside St Ste 100, Ijamsville, MD 21754-9174 Ph: (240) 344-0793 | Jody Lynn Cochran, CRNP 10260 Silverside St Ste 200, Ijamsville, MD 21754-9174 Ph: (301) 682-4100 |
Mrs. Susan Kay Vonk, APRN, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 11290 Woodhaven Dr, Ijamsville, MD 21754 Phone: 919-457-2323 | |
Laura G Roque, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 10260 Silverside St Ste 100, Ijamsville, MD 21754 Phone: 301-682-4100 Fax: 301-682-9100 |