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NPI Code Detail

MEDICARE: JANA COTTON QBHP

MEDICARE:   JANA  COTTON  QBHP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1171M00000XCase Manager/Care Coordinator

General Provider Information

NPI Number : 1124672852
Entity Type Code : Individual
Provider Name (Legal Business Name) : JANA COTTON QBHP
Provider Business Mailing Address
First Line : 110 PEARSON
Second Line :
City : BENTON
State : AR
Zip : 72015-4436
Country : US
Telephone Number : 501-315-4224
Fax Number : 501-778-0450
Provider Business Practice Location Address
First Line : 110 PEARSON
Second Line :
City : BENTON
State : AR
Zip : 72015-4436
Country : US
Telephone Number : 501-315-4224
Fax Number : 501-778-0450
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/31/2019
Last Update Date : 01/08/2026

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Directions to “ JANA COTTON QBHP” Practice Location

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