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MRS. DONNA JEANNETTE COTHREN

Family >> Nurse Practitioner >> Physician Assistants & Advanced Practice Nursing Providers

Registrant NPI Number: 1255703302

Individual Registrant:
MRS. DONNA JEANNETTE COTHREN 
Gender: F
Not Sole Proprietor

Location and contact information for practice:
1670 ST VINCENTS WAY  MIDDLEBURG, FL 32068-8447 US
Tel: 904-602-1117  Fax: --

Contact information for business:
6387 CHURCH AVE  BRYCEVILLE, FL 32009-1838 US
Tel: 904-424-7804  Fax: --

Registration Information:
NPI: 1255703302
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y363LF0000XPhysician Assistants & Advanced Practice Nursing Providers
Nurse Practitioner
Family
FLARNP9167134

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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