Individual
JENNIFER DANIELLE COFFIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
200 TECH CENTER DR, KNOXVILLE, TN 37912-2747
(865) 637-9711
Mailing address
200 TECH CENTER DR, KNOXVILLE, TN 37912-2747
(865) 637-9711
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
202127
TN
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
26280
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q051293
—
TN
Enumeration date
07/17/2019
Last updated
10/25/2021
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