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Individual

MRS. SARA TENILLE COTTRELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
AGNP-C

Contact information

Practice address
650 JOEL DR, FORT CAMPBELL, KY 42223-5318
(270) 412-1237
Mailing address
650 JOEL DR, FORT CAMPBELL, KY 42223-5318
(270) 412-1237

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
APN0000025136
TN
363LG0600X
Gerontology Nurse Practitioner
APN0000025136
TN
363LP2300X
Primary Care Nurse Practitioner
APN0000025136
TN
364SA2200X
Adult Health Clinical Nurse Specialist
APN0000025136
TN

Other

Enumeration date
11/26/2018
Last updated
01/05/2026
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