Individual
JEANNE MARIE COFFEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
3920 DUTCHMANS LN, LOUISVILLE, KY 40207-4702
(502) 259-6710
(502) 259-6704
Mailing address
PO BOX 909, LOUISVILLE, KY 40201-0909
(502) 588-0328
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
1041593
KY
367500000X
Certified Registered Nurse Anesthetist
Primary
3000695
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000329625
ANTHEM BLUE SHIELD
KY
05
—
200079720
—
IN
01
—
2818463000
PASSPORT ADVANTAGE
KY
01
—
50013923
PASSPORT
KY
05
—
74350588
—
KY
01
—
P00146956
RAILROAD MEDICARE
—
Enumeration date
10/04/2005
Last updated
02/27/2023
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