Provider Demographics
NPI:1902777295
Name:KOCHERA, AUBRY IRELAND (RN, FNP-C)
Entity type:Individual
Prefix:
First Name:AUBRY
Middle Name:IRELAND
Last Name:KOCHERA
Suffix:
Gender:F
Credentials:RN, FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:465 GLYNN ST N
Mailing Address - Street 2:
Mailing Address - City:FAYETTEVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30214-1106
Mailing Address - Country:US
Mailing Address - Phone:470-278-5649
Mailing Address - Fax:
Practice Address - Street 1:465 GLYNN ST N
Practice Address - Street 2:
Practice Address - City:FAYETTEVILLE
Practice Address - State:GA
Practice Address - Zip Code:30214-1106
Practice Address - Country:US
Practice Address - Phone:470-278-5649
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-09-17
Last Update Date:2025-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GANP213298363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily