Individual
JACOB DUDLEY COFFEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP-C
Contact information
Practice address
1 S CREEK DR STE 102606, MONTICELLO, KY 42633
(606) 348-3365
(606) 343-0067
Mailing address
1 S CREEK DR STE 102, MONTICELLO, KY 42633-9472
(606) 348-3365
(606) 343-0067
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
3011991
KY
Other
Enumeration date
01/10/2018
Last updated
12/11/2020
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