Individual
JONATHAN P COTTINGHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
505 E MATTHEWS AVE STE 103, JONESBORO, AR 72401-3101
(870) 972-0411
Mailing address
505 E MATTHEWS AVE STE 103, JONESBORO, AR 72401-3101
(870) 972-0411
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
20679
TN
363LF0000X
Family Nurse Practitioner
Primary
A004008
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201533758
—
AR
Enumeration date
02/26/2014
Last updated
04/07/2019
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