# JENNIFER COUGHENOUR

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1073984878
- **Gender:** F
- **Credential:** FNP-C

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LF0000X | Family Nurse Practitioner | 5008212 | NC | — |
| 363LF0000X | Family Nurse Practitioner | F1015076 | NC | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | 5008212 | NC | Yes |
| 363LX0106X | Occupational Health Nurse Practitioner | 5008212 | NC | — |

## Other

- **Enumeration date:** 10/19/2015
- **Last updated:** 08/05/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 5008212 | NC NP LICENSE | NC |