Individual
DR. JORDAN ALYSE COFFELT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AU.D.
Contact information
Practice address
4055 N PARK LOOP, MEMPHIS, TN 38152-4220
(901) 678-2009
(901) 678-5497
Mailing address
4055 N PARK LOOP, MEMPHIS, TN 38152-4220
(901) 678-2009
(901) 678-5497
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
1761
TN
231H00000X
Audiologist
426
AR
231H00000X
Audiologist
A4402
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q059461
—
TN
Enumeration date
08/12/2016
Last updated
08/19/2020
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