MR. MARK JASON COBB CRNP - AGACNP-BC NPI 1689207391

NPI Information

NPI: 1689207391
Provider Name: MR. MARK JASON COBB, CRNP - AGACNP-BC
Classification: Nurse Practitioner - 363LA2100X
Entity Type: Individual

Specialization: Acute Care

Organization: SOUTHERN IMMEDIATE CARE, INC

PECOS Registration: Yes

Address:
600 S 3RD ST
GADSDEN, AL
ZIP 35901
Phone: (256) 282-6082
Get Directions

MR. Mark Jason Cobb, CRNP - AGACNP-BC is an acute care nurse practitioner in Gadsden, AL with 5 years of experience. MR. Mark Jason Cobb, CRNP - AGACNP-BC NPI is 1689207391. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

600 S 3RD ST
GADSDEN, AL
ZIP 35901-304
Phone: (256) 282-6082

The NPI 1689207391 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 2/20/2020 and was last updated on 2/20/2020.

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
1	363L00000X	Nurse Practitioner		1-116446	ALABAMA	No
2	363LA2200X	Nurse Practitioner	Adult Health	1-116446	ALABAMA	No
3	363LC0200X	Nurse Practitioner	Critical Care Medicine	1-116446	ALABAMA	No
4	363LC1500X	Nurse Practitioner	Community Health	1-116446	ALABAMA	No
5	363LG0600X	Nurse Practitioner	Gerontology	1-116446	ALABAMA	No
6	363LA2100X	Nurse Practitioner	Acute Care	1-116446	ALABAMA	Yes

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: 11/14/2023

NPI Synchronization or Removal

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