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Individual

MRS. JENIFER D COFFMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP

Contact information

Practice address
5838 W BRICK RD STE 106, SOUTH BEND, IN 46628-8420
(574) 247-1911
(574) 247-1912
Mailing address
PO BOX 639295 DEPT 93394, CINCINNATI, OH 45263-9295
(484) 346-1692
(855) 618-6655

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
28149680A
IN
363L00000X
Nurse Practitioner
Primary
71010743A
IN
363LF0000X
Family Nurse Practitioner
4704369267
MI

Other

Enumeration date
12/11/2020
Last updated
02/05/2026
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