JUDITH BLACKMAN-COCKRAN APRN NPI 1548331390

NPI Information

  • NPI: 1548331390
  • Provider Name: JUDITH BLACKMAN-COCKRAN, APRN
  • Classification: Nurse Practitioner - 363LP0200X
  • Specialization: Pediatrics
  • Entity Type: Individual
  • Address: 495 GOLD STAR HWY
    SUITE 120
    GROTON, CT
    ZIP 06340
  • Phone: (860) 449-8882

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NPI Details

Judith Blackman-cockran, APRN is a pediatrics nurse practitioner in Groton, CT. Judith Blackman-cockran, APRN NPI is 1548331390. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

495 GOLD STAR HWY
SUITE 120
GROTON, CT
ZIP 06340-228
Phone: (860) 449-8882
Fax: (860) 449-9195

The enumeration date for this NPI number is 11/13/2006 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LP0200XNurse PractitionerPediatrics001870CONNECTICUTYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1101870OTHERCONNECTICARE
22V4030OTHERHEALTH NET

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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