Provider Demographics
NPI:1669146320
Name:COTTON, JARRET (MSN, APRN, FNP-C)
Entity type:Individual
Prefix:
First Name:JARRET
Middle Name:
Last Name:COTTON
Suffix:
Gender:M
Credentials:MSN, APRN, FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1050 S PRESTON RD STE 119
Mailing Address - Street 2:
Mailing Address - City:CELINA
Mailing Address - State:TX
Mailing Address - Zip Code:75009-3859
Mailing Address - Country:US
Mailing Address - Phone:972-382-8520
Mailing Address - Fax:
Practice Address - Street 1:1050 S PRESTON RD STE 119
Practice Address - Street 2:
Practice Address - City:CELINA
Practice Address - State:TX
Practice Address - Zip Code:75009-3859
Practice Address - Country:US
Practice Address - Phone:972-382-8520
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-08-05
Last Update Date:2021-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1046795363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily