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Individual

JAKE ANDREW COFFMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
1705 WARREN AVE STE 101-103, WILLIAMSPORT, PA 17701-2647
(570) 321-2020
Mailing address
1201 GRAMPIAN BLVD, WILLIAMSPORT, PA 17701-1900
(570) 326-8723

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
0010-06081
NC
363A00000X
Physician Assistant
001006081
NC
363A00000X
Physician Assistant
Primary
MA066501
PA

Other

Enumeration date
11/25/2015
Last updated
02/27/2026
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