Provider Demographics
NPI:1093165870
Name:COCKERHAM, APRIL (MSN, RN, APRN, FNP-C)
Entity type:Individual
Prefix:
First Name:APRIL
Middle Name:
Last Name:COCKERHAM
Suffix:
Gender:F
Credentials:MSN, RN, APRN, FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:538 BROADWAY
Mailing Address - Street 2:
Mailing Address - City:WINNIE
Mailing Address - State:TX
Mailing Address - Zip Code:77665-7600
Mailing Address - Country:US
Mailing Address - Phone:409-296-6000
Mailing Address - Fax:
Practice Address - Street 1:85 IH 10 N STE 112
Practice Address - Street 2:
Practice Address - City:BEAUMONT
Practice Address - State:TX
Practice Address - Zip Code:77707-2560
Practice Address - Country:US
Practice Address - Phone:409-239-5139
Practice Address - Fax:409-347-8856
Is Sole Proprietor?:Yes
Enumeration Date:2016-06-13
Last Update Date:2023-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP131137363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXAP131137OtherLICENSE