Provider Demographics
NPI:1811373202
Name:COCHRAN, JENNIFER LYNN (APRN, PMHNP-BC, FNP)
Entity type:Individual
Prefix:MS
First Name:JENNIFER
Middle Name:LYNN
Last Name:COCHRAN
Suffix:
Gender:F
Credentials:APRN, PMHNP-BC, FNP
Other - Prefix:
Other - First Name:JENNIFER
Other - Middle Name:
Other - Last Name:COCHRAN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:6641 MADISON ST STE 3
Mailing Address - Street 2:
Mailing Address - City:NEW PORT RICHEY
Mailing Address - State:FL
Mailing Address - Zip Code:34652-1966
Mailing Address - Country:US
Mailing Address - Phone:727-203-4417
Mailing Address - Fax:727-203-4427
Practice Address - Street 1:6641 MADISON ST STE 3
Practice Address - Street 2:
Practice Address - City:NEW PORT RICHEY
Practice Address - State:FL
Practice Address - Zip Code:34652-1966
Practice Address - Country:US
Practice Address - Phone:727-203-4417
Practice Address - Fax:727-203-4427
Is Sole Proprietor?:No
Enumeration Date:2015-08-07
Last Update Date:2025-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL9458461363LP0808X
OH00356812084P0800X, 363LF0000X
FLARNP9458461363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily