Individual provider · Type 1 NPI
Melinda Anne Cockrell, RN-BC
Psychiatric/Mental Health Nurse Practitioner · Bradley, IL
NPI number
1679317119
Active
Practice location
936 Quail Dr
Bradley, IL 60915-1338
Other practice locations
- 8240 Naab Rd Ste 360, Indianapolis, IN 46260-1987 · (832) 869-4818
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 71017048A (IN) |
| Registered Nurse | 163W00000X | 041353584 (IL) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
About NPI 1679317119
Melinda Anne Cockrell, RN-BC's National Provider Identifier is 1679317119, issued on Jun 20, 2024. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Bradley, IL. The record was last updated on Dec 30, 2025.