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Individual

DR. CODY TYLER COTTRELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DNP, FNP, PMHNP

Contact information

Practice address
513 MAIN ST, NORTH LITTLE ROCK, AR 72114-5329
(501) 777-5969
Mailing address
1748 EDGEBURG LN, CORDOVA, TN 38016-3550
(901) 591-7144

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
225806
AR
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
225806
AR

Other

Enumeration date
08/09/2023
Last updated
08/09/2023
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