Doctor Name: | JOSEPH MARK COTTEN |
NPI Number: | 1043610561 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | RN, MSN, FNP-BC |
License Number: | APN0000019016 |
Business Practice Address: | 6670 Stage Rd Bartlett, TN - 381343810 |
Business Phone Number: | 9013849000 |
Business Fax Number: | |
Mailing Address: | 106 Yocum Dr, SMYRNA |
State: | TN |
Postal Code: | 371675535 |
Phone Number: | 6018187958 |
Fax Number: | |
NPI Enumeration Date: | 09/03/2014 |
NPI Last Update Date: | 09/03/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | APN0000019016 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TN |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |