Cotner, Jill

Cotner, Jill is an individual health care provider with primary practice located at 2115 S Fremont Ave Ste 3300, Springfield MO 65804-2239. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Gerontology. Physician Assistants & Advanced Practice Nursing Providers / Gerontology is her primary health care specialty. Cotner, Jill can be contacted via phone (417) 820-5200.

Contact Information

Primary practice address
2115 S Fremont Ave Ste 3300 Springfield MO 65804-2239
Phone: (417) 820-5200
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 2000151477 Missouri
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X 2016036907 Missouri

Profile Details

NPI number 1932656535
LBN Legal business name Cotner, Jill
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 1st, 2016
Last updated Oct 18th, 2016 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1932656535 NPPES
Missouri MEDICAID PENDING
Missouri MEDICAID PENDING

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