Individual provider · Type 1 NPI

Jaclyn R. Cochrane, PA-C

Medical Physician Assistant · Grand Rapids, MI

NPI number 1053560045 Active

Practice location

3700 52nd St SE
Grand Rapids, MI 49512-9637

Fax (616) 656-3701

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X5601005220 (MI)

Medical Physician Assistant: Definition to come...

12 other providers at this address

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About NPI 1053560045

Jaclyn R. Cochrane, PA-C's National Provider Identifier is 1053560045, issued on Sep 15, 2008. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Grand Rapids, MI. The record was last updated on Dec 17, 2008.