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General NPI Number Information
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NPI Number | 1174414924
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Entity Type | Individual
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Provider Name | JESSICA ANN COTTRELL FNP-BC, CRNP
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Gender | Female
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Dates
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Enumeration Date | 07/10/2025
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Last Update Date | 01/16/2026
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Provider Practice Location Address
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Address Line | 520 UPPER CHESAPEAKE DR STE 208
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City | BEL AIR
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State | MD
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Zip | 21014-4392
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Country | US
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Telephone | 443-643-3335
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Fax | 443-643-3337
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Provider Business Mailing Address
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Address Line | 520 UPPER CHESAPEAKE DR STE 208 SUITE 208
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City | BEL AIR
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State | MD
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Zip | 21014-4392
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Country | US
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Telephone | 443-643-3335
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Fax | 443-643-3337
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | R216966
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License Number State | MD
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