Individual
JENA M COTTRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1813 W HARVARD AVE STE 241, ROSEBURG, OR 97471-8708
(541) 229-7038
(541) 464-4474
Mailing address
PO BOX 1700, ROSEBURG, OR 97470-0414
(541) 229-7038
(541) 464-4474
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
201703857NP-PP
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201703857NP-PP
—
OR
Enumeration date
05/30/2017
Last updated
05/30/2017
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