Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MICKIE LYNN GOCKEN, AGNP-C
Active Sole ProprietorMICKIE LYNN GOCKEN, AGNP-C is a Gerontological Nurse Practitioner healthcare provider located in LAKEVIEW, Oregon. NPI 1457173320 is currently active in the NPPES registry. Verify at CMS.
Gerontological Nurse Practitioner · LAKEVIEW, OR
Registration Details
- NPI Number
- 1457173320
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 30, 2024 (1.7461720797139 yrs)
- Last Updated
- May 14, 2025
- Licenses
-
IP61550574 (WA)10043127 (OR)
- Sole Proprietor
- Yes
Practice Information
- Address
-
8 N E STLAKEVIEW, OR, 976301524Browse OR providers · Browse ZIP 97630
- Phone
- 3202415465
- Primary Specialty
-
Gerontological Nurse Practitioner
363LG0600X
- Additional Specialty
- Gerontological Nurse Practitioner
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.