Individual
JENIFER COTTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
2020 S INDEPENDENCE BLVD, SUITE 5, VIRGINIA BEACH, VA 23453-4776
(757) 471-6903
Mailing address
3738 WINTERFIELD RD, STE 100, MIDLOTHIAN, VA 23113-9236
(804) 378-9378
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
0024170005
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
006201181
—
VA
05
—
006207731
—
VA
Enumeration date
07/20/2012
Last updated
05/26/2016
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