Provider Demographics
NPI:1366847998
Name:COTE, JEREMY GERARD (FNP)
Entity Type:Individual
Prefix:
First Name:JEREMY
Middle Name:GERARD
Last Name:COTE
Suffix:
Gender:M
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5651 FRIST BLVD STE 309
Mailing Address - Street 2:
Mailing Address - City:HERMITAGE
Mailing Address - State:TN
Mailing Address - Zip Code:37076-2057
Mailing Address - Country:US
Mailing Address - Phone:615-250-6900
Mailing Address - Fax:615-250-6904
Practice Address - Street 1:2400 PATTERSON ST
Practice Address - Street 2:SUITE 215
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37203
Practice Address - Country:US
Practice Address - Phone:615-342-7345
Practice Address - Fax:615-342-7346
Is Sole Proprietor?:No
Enumeration Date:2014-10-24
Last Update Date:2018-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN18941363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
TNQ014500Medicaid