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Individual

JEANNIE LANE COFFEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
8260 GLADIOLUS DR, FORT MYERS, FL 33908-4156
(239) 437-5755
(239) 437-5776
Mailing address
PO BOX 102222, ATLANTA, GA 30368-2222
(239) 274-8200

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
ARNP9251338
FL
363LA2100X
Acute Care Nurse Practitioner
Primary
APRN9251338
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
117285900
FL
Enumeration date
09/16/2010
Last updated
09/11/2025
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