Individual
JENNIFER COUGHLAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
201 E SAMPLE RD, DEERFIELD BEACH, FL 33064-3502
(954) 941-8300
Mailing address
921 GREENBRIAR AVE, DAVIE, FL 33325-6338
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN.450544
OH
163W00000X
Registered Nurse
Primary
RN9618853
FL
Other
Enumeration date
06/24/2024
Last updated
06/24/2024
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