Individual
JENNIFER COUGHENOUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
821A S MAIN ST, LAURINBURG, NC 28352-4724
(910) 506-8474
(855) 736-1881
Mailing address
PO BOX 888, LAURINBURG, NC 28353-0888
(910) 506-8474
(855) 736-1881
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
5008212
NC
363LF0000X
Family Nurse Practitioner
F1015076
NC
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
5008212
NC
363LX0106X
Occupational Health Nurse Practitioner
5008212
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5008212
NC NP LICENSE
NC
Enumeration date
10/19/2015
Last updated
08/05/2025
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