Individual provider · Type 1 NPI

Stacie Smith Cockerham, NP

Nurse Practitioner · High Point, NC

NPI number 1306438304 Active

Practice location

601 N Elm St
High Point, NC 27262-4331

Fax (336) 878-6010

Mailing address

100 Kimel Forest Dr
Winston Salem, NC 27103-6074

Other practice locations

  • 1200 N Elm St, Greensboro, NC 27401-1004 · (336) 832-7000
  • 612 Mocksville Ave, Salisbury, NC 28144-2732 · (704) 210-5260
  • 3333 Silas Creek Pkwy, Winston Salem, NC 27103-3013 · (336) 718-7224
  • 190 Kimel Park Dr Ste 155, Winston Salem, NC 27103-6946 · (336) 765-6637

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X5014106 (NC)
Acute Care Nurse Practitioner 363LA2100X5014106 (NC)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1306438304

Stacie Smith Cockerham, NP's National Provider Identifier is 1306438304, issued on Feb 10, 2021. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in High Point, NC. The record was last updated on Aug 11, 2026.