Provider Demographics
NPI:1982204350
Name:JENNIFER LILA COTE PSYCHIATRIC NURSE PRACTITIONER PLLC
Entity Type:Organization
Organization Name:JENNIFER LILA COTE PSYCHIATRIC NURSE PRACTITIONER PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:L
Authorized Official - Last Name:COTE
Authorized Official - Suffix:
Authorized Official - Credentials:NP
Authorized Official - Phone:518-435-9910
Mailing Address - Street 1:PO BOX 3974
Mailing Address - Street 2:
Mailing Address - City:ALBANY
Mailing Address - State:NY
Mailing Address - Zip Code:12203-0974
Mailing Address - Country:US
Mailing Address - Phone:518-435-9910
Mailing Address - Fax:
Practice Address - Street 1:321 BROADWAY
Practice Address - Street 2:
Practice Address - City:RENSSELAER
Practice Address - State:NY
Practice Address - Zip Code:12144-2602
Practice Address - Country:US
Practice Address - Phone:518-453-2280
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-10-27
Last Update Date:2020-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty