Individual
MRS. JESSICA DAWN COTTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
75 PHYSICIANS LN, SOUTHAVEN, MS 38671-6102
(662) 393-7722
Mailing address
75 PHYSICIANS LN, SOUTHAVEN, MS 38671-6102
(662) 393-7722
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
902174
MS
Other
Enumeration date
09/28/2017
Last updated
03/26/2018
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