Individual
MR. JUSTIN KEITH COAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNP
Contact information
Practice address
1100 S JACKSON HWY, SUITE 150, SHEFFIELD, AL 35660-5774
(256) 386-4680
(256) 386-4682
Mailing address
1100 S JACKSON HWY, SUITE 150, SHEFFIELD, AL 35660-5774
(256) 386-4680
(256) 386-4682
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1079792
AL
Other
Enumeration date
07/11/2005
Last updated
01/09/2012
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