Provider Demographics
NPI:1629494075
Name:COTTON, JESSICA ELAINE (CNM/WHNP)
Entity Type:Individual
Prefix:MRS
First Name:JESSICA
Middle Name:ELAINE
Last Name:COTTON
Suffix:
Gender:F
Credentials:CNM/WHNP
Other - Prefix:
Other - First Name:JESSICA
Other - Middle Name:
Other - Last Name:KAYSER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2401 SOUTHWEST BLVD
Mailing Address - Street 2:
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74107-2726
Mailing Address - Country:US
Mailing Address - Phone:918-561-5720
Mailing Address - Fax:918-561-1173
Practice Address - Street 1:3345 S HARVARD AVE STE 201
Practice Address - Street 2:
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74135-1809
Practice Address - Country:US
Practice Address - Phone:918-748-8111
Practice Address - Fax:918-744-5284
Is Sole Proprietor?:No
Enumeration Date:2014-03-10
Last Update Date:2021-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK90310367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife