Jacob Lee Cottage
Nurse Practitioner, Psych/Mental Health in Harrisburg, PA. Individual provider (NPI-1).
NPI number1215801832
StatusActive
Last updated in NPPESOct 1, 2026
Details
- NPI
- 1215801832
- Entity type
- Individual (NPI-1)
- Name
- Jacob Lee Cottage
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Oct 6, 2025
- Certification date
- Oct 1, 2026
- Last updated
- Oct 1, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LP0808X | Nurse Practitioner, Psych/Mental Health | SP033726 | PA | Yes |
Practice location
600 N 2nd St Ste 401Harrisburg, PA 17101-1071
Phone 860-788-6404
Mailing address
Po Box 1595Middletown, CT 06457-8095
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