National Provider Identifier

Jennifer Patrice Cotterman, LPN

Jennifer Patrice Cotterman, LPN is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Walworth, NY and a listed phone number of (585) 730-1266.

NPI 1669969606Walworth, NYLicensed Practical Nurse

Profile Overview

NPI
1669969606
Provider Type
Individual
Primary Specialty
Licensed Practical Nurse
Enumeration Date
April 16, 2018
Last Updated
April 16, 2018

Practice Location

  • 3270 Wildflower Dr
  • Walworth, NY 14568-9404

Phone: (585) 730-1266

Specialties

  • Licensed Practical Nurse (164W00000X)
Full Record
NPI
1669969606
Entity Type
Individual
Last Name
Cotterman
First Name
Jennifer
Middle Name
Patrice
Credential
LPN
Mailing Street Address
3270 Wildflower Dr
Mailing City
Walworth
Mailing State
NY
Mailing ZIP Code
14568-9404
Mailing Country
US
Mailing Phone
(585) 730-1266
Practice Street Address
3270 Wildflower Dr
Practice City
Walworth
Practice State
NY
Practice ZIP Code
14568-9404
Practice Country
US
Practice Phone
(585) 730-1266
Enumeration Date
April 16, 2018
Last Updated
April 16, 2018
Sex
Female
Sole Proprietor
Yes
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Licensed Practical Nurse (164W00000X)