Individual
KEALIN JERROD COFFIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
420 PARK ST, BELMONT, NC 28012-3393
(704) 631-1820
Mailing address
PO BOX 19305, CHARLOTTE, NC 28219-9305
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
5008393
NC
363LF0000X
Family Nurse Practitioner
Primary
5008393
NC
Other
Enumeration date
01/11/2016
Last updated
07/15/2024
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