Provider Demographics
NPI:1710678891
Name:COTTON, JOSHUA JAY LAMAR
Entity Type:Individual
Prefix:MR
First Name:JOSHUA
Middle Name:JAY LAMAR
Last Name:COTTON
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2501 PERSHING CIRCLE
Mailing Address - Street 2:APT 211
Mailing Address - City:NORTH LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72114
Mailing Address - Country:US
Mailing Address - Phone:501-909-4138
Mailing Address - Fax:
Practice Address - Street 1:2501 PERSHING CIRCLE
Practice Address - Street 2:APT 211
Practice Address - City:NORTH LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72114
Practice Address - Country:US
Practice Address - Phone:501-909-4138
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-05-18
Last Update Date:2023-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374700000XNursing Service Related ProvidersTechnician