Individual
JORDAN LEE COTTRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1125 N COLLEGE AVE, FAYETTEVILLE, AR 72703-1908
(479) 521-8260
Mailing address
1395 N HERITAGE AVE, FAYETTEVILLE, AR 72704-5575
(870) 373-0061
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
12/08/2025
Last updated
12/08/2025
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