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NPI Code Detail

MEDICARE: MRS. NAKEISHA COTTON NP

MEDICARE:  MRS. NAKEISHA  COTTON  NP
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
1163WA0400XAddiction (Substance Use Disorder) Registered Nurse186611-30WI
2163W00000XRegistered Nurse186611-30WI
3363LF0000XFamily Nurse Practitioner1100681TX
4363L00000XNurse PractitionerF06231698TX

General Provider Information

NPI Number : 1942670716
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. NAKEISHA COTTON NP
Provider Business Mailing Address
First Line : 5526 S CONGRESS AVE
Second Line :
City : AUSTIN
State : TX
Zip : 78745-3106
Country : US
Telephone Number : 800-994-0371
Fax Number : 254-215-9722
Provider Business Practice Location Address
First Line : 5526 S CONGRESS AVE
Second Line :
City : AUSTIN
State : TX
Zip : 78745-3106
Country : US
Telephone Number : 262-995-8234
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/05/2015
Last Update Date : 10/08/2025

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