Individual
JACEY MARIE COFFEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
639 HEMLOCK ST, SUITE 100, MACON, GA 31201-6886
(478) 755-1560
(478) 755-1562
Mailing address
639 HEMLOCK ST, SUITE 100, MACON, GA 31201-6886
(478) 755-1560
(478) 755-1562
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN201525
GA
Other
Enumeration date
10/28/2016
Last updated
10/28/2016
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