Individual
JENNIFER LEA COFFMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
5447 MAPLE LN STE A, FAYETTEVILLE, WV 25840-6872
(304) 574-1141
(304) 574-1151
Mailing address
5447 MAPLE LN, FAYETTEVILLE, WV 25840-6872
(304) 547-1141
(304) 574-1151
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
80799
WV
Other
Enumeration date
06/20/2024
Last updated
06/20/2024
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