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Leigh Ann Cochran

Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers

5003 Hardy St Ste 200, Hattiesburg, MS 39402

PECOS Enrollment

This provider is enrolled in PECOS as LEIGH COCHRAN.

Based on the most recent information from CMS, provider Leigh Ann Cochran is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 6 days ago.

Profile Details

Provider ID
1134608243
Provider Type
Individual
Full Name
Cochran, Leigh Ann
Credential
FNP-C

Gender
Female
Sole Proprietor
No
Enumeration Date
8/9/2018
Last Updated
8/13/2020

Contact Information

Practice Location

5003 Hardy St Ste 200, Hattiesburg, MS 39402

(601) 251-5700

Unlisted Fax

Mailing Location

5003 Hardy St Ste 200, Hattiesburg, MS 39402-1331

(601) 261-5700

(601) 261-5777

Provider Taxonomies

Code	Description	License
Code 363LF0000X Primary	Description Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers	License 902719 Mississippi

Provider Identifiers

ID	Description	Issuer
ID 902719	Description Other	Issuer NURSE PRACTITIONER LICENSE Mississippi

Leigh Ann Cochran

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Provider Identifiers

ID

Description

Issuer

ID

Description

Issuer

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