Individual
MS. KEISHA D. COTTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSCJ
Contact information
Practice address
1730 SHADOWOOD LN STE 360, JACKSONVILLE, FL 32207-1133
(904) 379-1392
(904) 647-1936
Mailing address
1730 SHADOWOOD LN STE 360, JACKSONVILLE, FL 32207-1133
(904) 379-1392
(904) 647-1936
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
760018600
—
FL
Enumeration date
07/19/2006
Last updated
03/27/2019
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