NPI Profile for MARK J COBB in GADSDEN, AL.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Acute Care |
363LA2100X | 50 | Nurse Practitioner | |
Adult Health |
363LA2200X | 50 | Nurse Practitioner | |
Community Health |
363LC1500X | 50 | Nurse Practitioner | |
Critical Care Medicine |
363LC0200X | 50 | Nurse Practitioner | |
Gerontology |
363LG0600X | 50 | Nurse Practitioner | |
Nurse Practitioner |
363L00000X | 50 | Nurse Practitioner |
| NPI # | 1689207391 |
|
| Status | Active | |
| Credentials | CRNP - AGACNP-BC | |
| Entity | Individual | |
| Enumeration date | 02/20/2020 | |
| Last updated | 02/20/2020 - About 6 years ago | |
| Sole proprietor 1 | No | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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MARK J COBB
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